Mantziari S, Grass F, Demartines N, Schaefer M
Service de chirurgie viscérale, Département de chirurgie, CHUV, Lausanne.
Rev Med Suisse. 2011 Jun 22;7(300):1362-5.
Appendicular tumors are mostly found incidentally in up to 1.5% of all appendectomies. Neuroendocrine tumors are the commonest malignancies, and are associated with an excellent long-term prognosis. While small lesions located at the appendicular tip can be treated with simple appendectomy, advanced tumors require right hemicolectomy. Goblet cell carcinoids are rare tumors showing a mixed phenotype. Long-term outcome is impaired, and for most cases a right hemicolectomy is mandatory. Colonic-type adenocarcinomas have a similar behavior like conventional colonic cancer and should be treated similarly. Mucinous neoplasias possess the characteristic of extensive mucin production with intraperitoneal spread. Treatment options are ranging from right hemicolectomy to multivisceral resection with intraperitoneal chemotherapy.
阑尾肿瘤在所有阑尾切除术中的偶然发现率高达1.5%。神经内分泌肿瘤是最常见的恶性肿瘤，且预后良好。位于阑尾尖端的小病变可通过单纯阑尾切除术治疗，而晚期肿瘤则需要行右半结肠切除术。杯状细胞类癌是罕见的具有混合表型的肿瘤。其长期预后较差，大多数病例必须行右半结肠切除术。结肠型腺癌的行为与传统结肠癌相似，治疗方式也应类似。黏液性肿瘤具有大量黏液生成并伴有腹膜内播散的特征。治疗选择范围从右半结肠切除术到多脏器切除并联合腹膜内化疗。
