Izbicki J R, Eypasch E, Seel R, Troidl H
II. Chirurgischen Lehrstuhl, Universität Köln im Klinikum Köln-Merheim.
Zentralbl Chir. 1989;114(18):1217-23.
Malignant epithelial tumours of the appendix are rare. They are mostly diagnosed by the pathologist rather than by the surgeon. Very frequently patients with these tumours present themselves with clinical signs of acute appendicitis. Right hemicolectomy is postulated to be the appropriate treatment of choice in all patients with adenocarcinomas of the appendix (colon type, cystic type). On the other hand this radical approach should be applied only to selected cases with carcinoid tumours.
阑尾恶性上皮性肿瘤很罕见。它们大多由病理学家而非外科医生诊断出来。这些肿瘤患者常常表现出急性阑尾炎的临床症状。对于所有阑尾腺癌(结肠型、囊性型)患者,推测右半结肠切除术是合适的首选治疗方法。另一方面,这种根治性方法仅应适用于某些类癌肿瘤病例。