Paredes Esteban R M, Martínez de Vitoria J M, García Ruiz M
Servicio de Cirugía Pediátrica, Hospital Materno-lnfantil, Complejo Hospitalario "Ciudad de Jaén", Jaén.
Cir Pediatr. 2006 Oct;19(4):250-2.
The carcinoid tumour of the appendix and the mucocele are entities rather infrequent in children and are normally diagnosed in the course of an appendicectomy that is, in most of the cases, curative. The association of both processes is unusual. The authors present a case of carcinoid tumour of the appendix associated to mucocele in a male, aged 10 patient, who underwent an appendicectomy by suspicion of an acute appendicitis. The histologic study confirmed the presence of a mucocele of the appendix associated to a carcinoid tumour with a 0,7 cm diameter. The serum serotonin and chromogranin A assessment was normal, and the TAC and colonoscopic examination resulted in no meaningful findings. The appendicectomy itself was curative, deeming it the appropiated treatment in tumours under 2 cm diameter.
阑尾类癌肿瘤和黏液囊肿在儿童中较为罕见,通常在阑尾切除术中被诊断出来,在大多数情况下,阑尾切除术具有治愈性。这两种病变同时出现的情况并不常见。作者报告了一例10岁男性患者,因怀疑急性阑尾炎接受阑尾切除术,术中发现阑尾类癌肿瘤合并黏液囊肿。组织学研究证实存在与直径0.7厘米的类癌肿瘤相关的阑尾黏液囊肿。血清5-羟色胺和嗜铬粒蛋白A评估结果正常,肿瘤标志物检查(TAC)和结肠镜检查未发现有意义的结果。阑尾切除术本身具有治愈性,对于直径小于2厘米的肿瘤,这被认为是合适的治疗方法。