Evans D A, Hamid B N, Hoare E M
Department of Surgery, Trafford General Hospital, Davyhulme, Manchester, UK.
J R Coll Surg Edinb. 1990 Feb;35(1):33-5.
Thirteen cases of primary appendicular adenocarcinoma are reported. This rare tumour usually presents as acute appendicitis. The correct diagnosis is rarely entertained before or during surgery. The main treatment choice lies between appendicectomy alone and appendicectomy followed by right hemicolectomy. There are anatomical reasons for advising the latter and survival figures from the literature tend to support this preference. The cases reported here indicate that in the period 1972-1984, in the North West Region, there was a slight preference for appendicectomy alone. The additional procedure of right hemicolectomy did not confer any clear-cut survival advantage.
本文报告了13例原发性阑尾腺癌。这种罕见的肿瘤通常表现为急性阑尾炎。在手术前或手术中很少能做出正确的诊断。主要的治疗选择是单纯阑尾切除术和阑尾切除术后行右半结肠切除术。从解剖学角度考虑建议采用后者，文献中的生存数据也倾向于支持这一选择。本文报告的病例表明，1972年至1984年期间，在西北地区，人们略倾向于单纯阑尾切除术。右半结肠切除术这一附加手术并未带来明显的生存优势。
