Ozer M T, Demirbas S, Celik E, Safali M, Harlak A, Coskun K, Ersoz N, Uzar A I
Department of Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Bratisl Lek Listy. 2011;112(11):619-22.
Carcinoid tumor of appendix is a rare condition. Its rarity may give rise to variances in its management. We aimed to demonstrate the occurrence and form of presentation of carcinoid tumor of appendix, as well as variations in its treatment.
All appendicectomies that took place between 2000 and 2008 were considered for study.
A total of 2,376 appendicectomies were performed during this period while carcinoid tumours were diagnosed in 27 patients (1.13%). The mean age of patients with carcinoid tumor (26.7 years) was almost the same as that of patients with non-carcinoid pathology (28.1 years). The incidence of male patients was higher than that of females amongst the carcinoid tumor group (female/male ratio: 1/4). None of the carcinoid tumors were identified at operation. One patient (3.7 %) required right hemicolectomy. This patient was followed-up in an inconsistent manner.
Carcinoid tumour of the appendix remains an incidental diagnosis. Patients with carcinoid were significantly younger than those with non-carcinoid conditions in the study. Re-operation rate was low. The interval to definitive surgery was very short and only one patient was followed up. No consideration as to whether the surgery was complete or not was done in the study (Tab. 1, Fig. 1, Ref. 29).
阑尾类癌肿瘤是一种罕见疾病。其罕见性可能导致其治疗方法存在差异。我们旨在阐述阑尾类癌肿瘤的发生情况、表现形式及其治疗方法的差异。
研究纳入了2000年至2008年间进行的所有阑尾切除术。
在此期间共进行了2376例阑尾切除术，其中27例（1.13%）被诊断为类癌肿瘤。类癌肿瘤患者的平均年龄（26.7岁）与非类癌病理患者的平均年龄（28.1岁）几乎相同。在类癌肿瘤组中，男性患者的发病率高于女性（女性/男性比例：1/4）。术中未发现类癌肿瘤。1例患者（3.7%）需要行右半结肠切除术。该患者的随访方式不一致。
阑尾类癌肿瘤仍然是一种偶然诊断。在本研究中，类癌患者明显比非类癌患者年轻。再次手术率较低。确定性手术的间隔时间非常短，仅对1例患者进行了随访。本研究未考虑手术是否完整（表1，图1，参考文献29）。
