Gu Yuqing, Wang Naichao, Xu Hongxing
Department of General Surgery, Taicang Hospital Affiliated to Soochow University, Taicang, Suzhou 215400, P.R. China.
Oncol Lett. 2015 May;9(5):2401-2403. doi: 10.3892/ol.2015.2997. Epub 2015 Feb 27.
Carcinoid tumors are the most common neoplasm of the appendix. The clinical presentation of these lesions is often similar to that of acute appendicitis, or the tumors are asymptomatic. The carcinoids are commonly found incidentally during histopathological examination of the resected appendix following appendectomy or other abdominal procedures. Appendiceal carcinoids usually behave as benign tumors and appendicectomy alone is a sufficient treatment in the majority of cases, while for larger lesions, right colectomy should be performed. The prognosis of patients with local appendiceal carcinoids is excellent. The present study reports the case of a 22-year-old female patient that presented with recurrent right lower abdominal pain of a three-year duration. The patient underwent successful appendectomy and recovered four days later. Subsequently, an appendiceal carcinoid tumor located at the tip of the appendix was diagnosed by histopathological examination. Follow-up examination one year after surgery revealed that the patient was well with no discomfort.
类癌是阑尾最常见的肿瘤。这些病变的临床表现通常与急性阑尾炎相似,或者肿瘤无症状。类癌通常在阑尾切除术后或其他腹部手术后对切除的阑尾进行组织病理学检查时偶然发现。阑尾类癌通常表现为良性肿瘤,在大多数情况下,单纯阑尾切除术就足够了,而对于较大的病变,则应进行右半结肠切除术。局限性阑尾类癌患者的预后极佳。本研究报告了一名22岁女性患者的病例,该患者出现持续三年的复发性右下腹痛。患者成功接受了阑尾切除术,四天后康复。随后,通过组织病理学检查诊断出位于阑尾尖端的阑尾类癌肿瘤。术后一年的随访检查显示患者情况良好,无不适。