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阑尾黏液性囊腺瘤:诊断、手术治疗及随访

Mucinous cystadenoma of the appendix: diagnosis, surgical management, and follow-up.

作者信息

Zagrodnik Dennis F, Rose D Michael

机构信息

Keesler Medical Center, Keesler Air Force Base, Mississippi 39534, USA.

出版信息

Curr Surg. 2003 May-Jun;60(3):341-3. doi: 10.1016/S0149-7944(02)00728-6.

DOI:10.1016/S0149-7944(02)00728-6
PMID:14972272
Abstract

PURPOSE

To review the diagnostic examination and clinical presentation of mucinous cystadenoma of the appendix.

METHODS

Case report from experience at an Air Force tertiary care hospital in a 66-year-old woman with chronic right lower quadrant pain.

RESULTS

After extensive preoperative evaluation and subsequent diagnostic laparoscopy, a right hemicolectomy was performed for a mucinous cystadenoma of the appendix.

CONCLUSIONS

Appendiceal mucinous cystadenoma is a rare entity found in only 0.3% of appendiceal specimens. Preoperative evaluation with radiologic and endoscopic methods is helpful but not always diagnostic. Although a benign disease process, complications from rupture, invasion into adjacent organs, or recurrence warrant adherence to strict oncologic principles for resection.

摘要

目的

回顾阑尾黏液性囊腺瘤的诊断检查及临床表现。

方法

来自一家空军三级护理医院的病例报告,患者为一名66岁慢性右下腹疼痛的女性。

结果

经过广泛的术前评估及随后的诊断性腹腔镜检查,对阑尾黏液性囊腺瘤实施了右半结肠切除术。

结论

阑尾黏液性囊腺瘤是一种罕见疾病,仅在0.3%的阑尾标本中发现。采用放射学和内镜方法进行术前评估有帮助,但并非总能确诊。尽管是良性病程,但破裂、侵犯邻近器官或复发引起的并发症需要遵循严格的肿瘤学切除原则。

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