Bail J P, Chardel P, Leal T, Charles J F
Service de Chirurgie Générale et Digestive, CHU Augustin Morvan, Brest.
Ann Chir. 1991;45(3):247-52.
The authors present two cases of pseudo tumoral type Mucus Secreting Tumours (MST) of the appendix. In this type (32% of the cases), the clinical presentation, barium enema, ultrasonography and most importantly CT scan generally confirm the preoperative diagnosis. We found three advantages this preoperative diagnosis. 1) Primarily it allows selection of a large surgical approach that permits full exploration of the abdominal cavity especially the ovaries (2-18% associated lesions); 2) also it allows a histopathological examination (frozen section) of the appendix to be performed during the operation; 3) and finally the surgical treatment will depend on the operative findings and the result of the histopathological examination: in the benign forms simple appendicectomy will be sufficient but the malignant forms (12% of the cases) should be treated by right hemicolectomy.
作者介绍了两例阑尾黏液分泌性肿瘤（MST）的假瘤样类型病例。在这种类型中（占病例的32%），临床表现、钡剂灌肠、超声检查，最重要的是CT扫描通常能在术前确诊。我们发现这种术前诊断有三个优点。1）首先，它允许选择较大的手术入路，以便全面探查腹腔，特别是卵巢（有2% - 18%的相关病变）；2）它还允许在手术过程中对阑尾进行组织病理学检查（冰冻切片）；3）最后，手术治疗将取决于手术所见和组织病理学检查结果：良性形式单纯阑尾切除术就足够了，但恶性形式（占病例的12%）应行右半结肠切除术。
