Bleker R J, Wereldsma J C
Department of Surgery, Sint Franciscus Gasthuis, Rotterdam, The Netherlands.
Neth J Surg. 1989 Apr;41(2):42-6.
The records of 99 patients admitted for inflammatory appendiceal mass were evaluated. Eight of these patients (8%) had a malignancy of the right colon with, in four cases, secondary inflammation of the appendix. Remnants of inflammation limited to the appendix were present in 64 patients. These two groups were compared to a group of 21 patients treated in the same period for a palpable malignancy of the right colon. In patients older than 50 years absence of pain, symptoms which last more than one week, a painless palpable mass in the right lower abdomen and the presence of anemia indicate (underlying) colonic malignancy. Barium enema of the colon remains the most reliable method for a correct preoperative diagnosis of colonic malignancy and should be done in every patient older than 50 years who presents with an appendiceal mass, as well as in younger patients with a protracted course of the disease.
对99例因炎性阑尾肿块入院的患者记录进行了评估。其中8例患者（8%）患有右半结肠癌，4例伴有阑尾继发性炎症。64例患者阑尾存在局限性炎症残留。将这两组患者与同期因可触及的右半结肠癌接受治疗的21例患者进行比较。50岁以上患者若无疼痛、症状持续超过一周、右下腹无痛性可触及肿块以及存在贫血，则提示（潜在的）结肠恶性肿瘤。结肠钡剂灌肠仍然是术前正确诊断结肠恶性肿瘤最可靠的方法，对于每一位50岁以上出现阑尾肿块的患者以及病程较长的年轻患者均应进行此项检查。
