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[一例合并低级别阑尾黏液性肿瘤的阑尾扭转病例]

[A Case of Appendix Torsion with Low-Grade Appendiceal Mucinous Neoplasm].

作者信息

Takiguchi Nobuo, Ota Hideo, Takeoka Tomohira, Ito Kazuma, Miyazaki Hidetaka, Ueda Hiroki, Nakai Shigeto, Matsuno Hiroshi, Konishi Ken, Okada Kazuyuki, Yokoyama Shigekazu, Fukunaga Mutsumi

机构信息

Dept. of Gastrointestinal Surgery, Hyogo Prefectural Nishinomiya Hospital.

出版信息

Gan To Kagaku Ryoho. 2020 Dec;47(13):2314-2316.

Abstract

An 84-year-old woman with a chief complaint of right lower abdominal pain was admitted to our hospital in November 20XX. Abdominal CT scan revealed a 9.6×4.1 cm diameter low density area proximal to the 13 mm diameter appendix, which led to perforated appendicitis with a huge abscess. The patient underwent an open appendectomy with partial cecum resection. The appendix was found to be twisted by 540°. The pathological diagnosis was low-grade appendiceal mucinous neoplasm(LAMN). Recent research has found that the use of laparoscopic surgery for the treatment of LAMN has been increasing. Appropriate surgical intervention should be considered for LAMN because it is a borderline malignancy. Careful treatment with laparoscopic surgery might be considered as one of the treatment options for LAMN. We hope to accumulate more cases of LAMN to confirm our results.

摘要

一名84岁女性因右下腹痛为主诉于20XX年11月入住我院。腹部CT扫描显示在直径13mm的阑尾近端有一个直径9.6×4.1cm的低密度区域,导致阑尾穿孔并形成巨大脓肿。患者接受了开放性阑尾切除术并部分切除盲肠。发现阑尾扭转了540°。病理诊断为低级别阑尾黏液性肿瘤(LAMN)。最近的研究发现,腹腔镜手术治疗LAMN的应用一直在增加。由于LAMN是一种交界性恶性肿瘤,应考虑对其进行适当的手术干预。腹腔镜手术的谨慎治疗可被视为LAMN的治疗选择之一。我们希望积累更多LAMN病例以证实我们的结果。

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