Tedesco A, Sestili F, Frattini P, Tegani G P, Residori C
Minerva Chir. 1989 Jul 31;44(13-14):1757-60.
Two cases of adenocarcinoma of the vermiform appendix are described. The literature on these rare cancers which are almost always diagnosed at routine histology and whose prognosis is related to Duke grading and staging, is reviewed. The stable cure observed in one patient after 13 years after straightforward caecal resection for cancer of the appendix extending beyond the base of the implant (which today would be handled with hemicolectomy) and then treated for multiple polyps, two of them in a stage of malignant degeneration, suggests a difference of biological behaviour compared to tumours of the other colon districts. In the second case, stress is laid on the unusual extension of the tumour-related inflammation to the skin of the gluteal region.
本文描述了两例阑尾腺癌病例。对这些罕见癌症的文献进行了综述，这些癌症几乎总是在常规组织学检查时被诊断出来，其预后与杜克分级和分期有关。一名患者因阑尾癌延伸至植入物基部以外（如今这种情况会采用半结肠切除术处理），在进行简单的盲肠切除术后13年病情稳定治愈，随后又因多发性息肉接受治疗，其中两个息肉处于恶性变阶段，这表明与其他结肠区域的肿瘤相比，其生物学行为存在差异。在第二个病例中，着重强调了肿瘤相关炎症异常蔓延至臀区皮肤的情况。
