Sington J D, Warren B F, Manek S
Department of Cellular Pathology, Stoke Mandeville Hospital, Aylesbury HP21 8AL, UK.
J Clin Pathol. 2002 Jul;55(7):551-3. doi: 10.1136/jcp.55.7.551.
This report describes a case of mucinous carcinoma and Müllerian metaplasia arising within an appendiceal duplication cyst found incidentally during an emergency Caesarian section. Intestinal duplication cysts are rare and although there are occasional reports of malignant transformation, this is the first case where Müllerian metaplasia was found concurrently with a malignancy. There was no previous history of endometriosis and no other abnormalities were found at surgery. Treatment included surgical excision. The patient is alive and well two years after removal of the cyst.
本报告描述了一例在急诊剖宫产术中偶然发现的阑尾重复囊肿内发生的黏液腺癌和苗勒氏化生病例。肠道重复囊肿罕见,虽然偶有恶变报道,但这是首例同时发现苗勒氏化生与恶性肿瘤的病例。患者既往无子宫内膜异位症病史,手术中未发现其他异常。治疗包括手术切除。囊肿切除两年后,患者健在。