Bronzino P, Abbo L, Bagnasco F, Barisone P, Dezzani C, Genovese A M, Iannucci P, Ippoliti M, Sacchi M, Aimo I
Struttura Complessa Chirurgia Generale, Ospedale Santa Croce, Mondovi (CN).
G Chir. 2006 Mar;27(3):97-9.
Mucinous cystadenomas of the appendix are rare tumours. In this article we describe the case of a young woman who presented with abdominal pain and a clinical pattern likely to a chronic appendicitis. At laparotomy we found a dilatation of the appendix which contained an abundant quantity of mucus. Histological examination showed a mucinous cystadenoma of the appendix. This neoplasm requires a surgical treatment, usually only appendectomy and right hemicolectomy in case of involvement of the caecum. During operation, the surgeon must take care in handling the appendix because of the risk of rupture with consequent dissemination of epithelial cells in the peritoneal cavity (pseudomyxoma peritonei).
阑尾黏液性囊腺瘤是罕见的肿瘤。在本文中,我们描述了一名年轻女性的病例,她因腹痛就诊,临床表现类似慢性阑尾炎。剖腹手术时,我们发现阑尾扩张,内有大量黏液。组织学检查显示为阑尾黏液性囊腺瘤。这种肿瘤需要手术治疗,通常仅行阑尾切除术,若盲肠受累则行右半结肠切除术。手术过程中,外科医生必须小心处理阑尾,因为有破裂风险,进而导致上皮细胞播散至腹腔(腹膜假黏液瘤)。