阑尾黏液囊肿与腹膜假黏液瘤的对比研究。附25例报告
[Comparative study of appendical mucocela and pseudomyxoma peritonei. About 25 cases].
作者信息
Chatti Samia, Ben Brahim Ehsen, Sidhom Oussama, Ben Othman Mourad, Zidi Yossra, Salah Meriam Belhaj, Sassi Sadok, Regaya Sabeh Mzabi, Touinsi Hassen
机构信息
Service d'Anatomie et de Cytologie Pathologiques, Service de Chirurgie, Hôpital MT Maâmouri, Route de Mrezka, 8000, Nabeul, Tunisie.
出版信息
Tunis Med. 2007 Dec;85(12):1044-9.
AIM
to study the clinicopathological features of the different types of appendical mucocele and to compare them with those of pseudomyxoma peritonei.
METHODS
25 cases of appendical mucocele were operated in the Cap-Bon region in Tunisia during a period of 13 years from 1994 to 2006.
RESULTS
9 retentionnal cysts, 13 mucinous cystadenomas, one serrated adenoma, one hyperplasia of the mucosa and one cystadenocarcinoma were diagnosed. Five cystadenomas as well as the only case of cystadenocarcinoma were associated with pseudomyxoma peritonei. Pseudomyxoma peritonei occurred 20 years later than in simple appendiceal mucocèle and complicated 5 cases of cystadenoma with low grade dysplasia and 1 case of cystadenocarcinoma.
CONCLUSION
Preoperative diagnosis of appendical mucocele and pseudomyxoma peritonei should be made on scannographic features in order to assess the adequate surgical management.
目的
研究不同类型阑尾黏液囊肿的临床病理特征，并与腹膜假黏液瘤的特征进行比较。
方法
1994年至2006年的13年间，突尼斯卡本地区有25例阑尾黏液囊肿患者接受了手术。
结果
诊断出9例潴留性囊肿、13例黏液性囊腺瘤、1例锯齿状腺瘤、1例黏膜增生和1例囊腺癌。5例囊腺瘤以及唯一1例囊腺癌与腹膜假黏液瘤有关。腹膜假黏液瘤比单纯阑尾黏液囊肿出现晚20年，并发于5例低级别发育异常的囊腺瘤和1例囊腺癌。
结论
应根据扫描特征对阑尾黏液囊肿和腹膜假黏液瘤进行术前诊断，以便评估适当的手术治疗方案。
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