Dejong C H, Verhagen P F
St. Maartensgasthuis, Venlo, The Netherlands.
Acta Chir Belg. 1988 Nov-Dec;88(6):397-400.
Two cases of primary adenocarcinoma of the appendix are reported. Both patients presented with a clinical picture resembling acute appendicitis. One case was complicated by a pseudomyxoma peritonei. The other patient additionally had several colonic adenomatous polyps and a malignant neoplasm of the ascending colon. Primary adenocarcinoma of the appendix is rare and only some 250 cases have been reported. It usually presents as acute appendicitis in the 6th or the 7th decade. Prognosis and histology closely resemble that of colonic adenocarcinoma. Resection of the ileocecal segment is the first choice treatment in all stages except Dukes A. In Dukes A appendectomy alone is sufficient treatment. After ileocecal resection the 5 year survival is better than after appendectomy alone for Dukes' stages B and C. Clinical presentation and treatment of the adenocarcinoma and a remarkable complication, the pseudomyxoma peritonei, will be discussed.
报告了两例阑尾原发性腺癌。两名患者的临床表现均类似急性阑尾炎。其中一例并发腹膜假黏液瘤。另一例患者还患有多个结肠腺瘤性息肉及升结肠癌。阑尾原发性腺癌较为罕见，仅有约250例病例报告。其通常在六七十岁时表现为急性阑尾炎。预后和组织学与结肠腺癌极为相似。除Dukes A期外，回盲部切除是各阶段的首选治疗方法。在Dukes A期，单纯阑尾切除术即为充分的治疗。对于Dukes B期和C期，回盲部切除术后的5年生存率优于单纯阑尾切除术。将讨论腺癌的临床表现、治疗以及一种显著的并发症——腹膜假黏液瘤。
