Sieren Leah M, Collins Jay N, Weireter Leonard J, Britt Rebecca C, Reed Scott F, Novosel Timothy J, Britt L D
Eastern Virginia Medical School, Department of Surgery, Norfolk, Virginia, USA.
Am Surg. 2010 Aug;76(8):808-11.
Acute appendicitis remains the most common surgical emergency encountered by the general surgeon. It is most often secondary to lymphoid hyperplasia, however it can also result from obstruction of the appendiceal lumen by a mass. We sought to review our experience with neoplasia presenting as appendicitis. We retrospectively reviewed all patients admitted with the diagnosis of appendicitis to our Acute Care Surgery Service from July 1, 2007 to June 30, 2009. Patient demographics, duration of symptoms, lab findings, computed tomography findings, and pathology were all analyzed. Over the 2-year period, 141 patients underwent urgent appendectomy. Ten patients (7.1%) were diagnosed with neoplasia on final pathology, including four women and six men with a mean age of 46.9 years and mean duration of symptoms of 12.6 days. Final pathology revealed four colonic adenocarcinoma; three mucinous tumors; one carcinoid; one endometrioma; and one patient had a combination of a mucinous cystadenoma, a carcinoid tumor, and endometriosis of the appendix. Six patients had concurrent appendicitis. Colonic and appendiceal neoplasia are not unusual etiologies of appendicitis. These patients tend to present at an older age and with longer duration of symptoms.
急性阑尾炎仍然是普通外科医生遇到的最常见的外科急症。它最常继发于淋巴组织增生，不过也可能由肿物阻塞阑尾腔所致。我们试图回顾我们处理表现为阑尾炎的肿瘤的经验。我们回顾性分析了2007年7月1日至2009年6月30日期间因阑尾炎诊断入住我们急性护理外科的所有患者。分析了患者的人口统计学资料、症状持续时间、实验室检查结果、计算机断层扫描结果及病理情况。在这2年期间，141例患者接受了急诊阑尾切除术。10例患者（7.1%）最终病理诊断为肿瘤，包括4名女性和6名男性，平均年龄46.9岁，平均症状持续时间12.6天。最终病理显示4例结肠腺癌；3例黏液性肿瘤；1例类癌；1例子宫内膜瘤；1例患者合并黏液性囊腺瘤、类癌肿瘤及阑尾子宫内膜异位症。6例患者合并阑尾炎。结肠和阑尾肿瘤是阑尾炎不常见的病因。这些患者往往年龄较大，症状持续时间较长。
