Ferri M, Ritossa C
Minerva Chir. 1989 Dec 31;44(23-24):2427-30.
A case of adenocarcinoma of Meckel's diverticulum is reported. Small bowel neoplasias are the least frequent in the gastrointestinal tract and localization to the diverticulum is extremely rare. Among histological types, adenocarcinoma accounts for the minority of cases. Early diagnosis is difficult because of lack of specificity of signs and symptoms, except in advanced stages. Small bowel resection with lymphadenectomy is the recommended therapeutic approach. Although, in reported case it could not be performed, because of the diffuse intraabdominal metastasis at diagnosis. This and similar cases would open the discussion about a possible indication for prophylactic resection of Meckel's diverticulum. No definitive conclusion can be drawn at present since no follow-up study is available on the natural history of diverticula which have been observed during abdominal surgery and have not been resected.
报告了一例梅克尔憩室腺癌病例。小肠肿瘤在胃肠道中最为少见，而肿瘤位于憩室内则极为罕见。在组织学类型中，腺癌占少数病例。由于除晚期外症状和体征缺乏特异性，早期诊断困难。推荐的治疗方法是小肠切除并进行淋巴结清扫。然而，在本报告病例中，由于诊断时已有弥漫性腹腔转移，无法进行手术。该病例及类似病例引发了关于梅克尔憩室预防性切除可能指征的讨论。由于目前尚无关于在腹部手术中观察到但未切除的憩室自然病程的随访研究，因此目前无法得出明确结论。
