Chirca Alexandru, Negreanu Lucian, Iliesiu Andreea, Costea Radu
Surgery II Department, University Hospital, Carol Davila University, Bucharest, Bucharest 050098, Romania.
Gastroenterology II Department, University Hospital, Carol Davila University, Bucharest, Bucharest 050098, Romania.
World J Clin Cases. 2021 Mar 6;9(7):1728-1733. doi: 10.12998/wjcc.v9.i7.1728.
Primary appendiceal tumors are histologically diverse and have an insidious onset and few specific clinical manifestations. In the majority of cases, these tumors are discovered after appendectomy during pathological exam of the resected tissue. Treatment may include appendectomy (simple or radical) and right hemicolectomy depending on factors such as histological type, tumor size and lymph node/organ involvement. The aim of this case study is to describe a rare case of a giant appendicular mucocele and raise awareness of this condition and its management options and follow-up protocol.
We present the case of a 43-year-old patient who presented to our emergency department with mild right lower quadrant pain. After the initial check-up and imaging exams, he underwent surgery, where a giant 20 cm × 13 cm appendicular tumor was found and resected. Appendicular mucocele was suspected due to the macroscopic appearance and was later confirmed by the pathological exam. The patient's postoperative evolution was uneventful, and after discharge, he was included in our follow-up program.
In conclusion, mucinous appendiceal neoplasms embody a rare pathology; they are asymptomatic or have few, unspecific clinical signs and in many cases are discovered after appendectomy.
原发性阑尾肿瘤在组织学上具有多样性，起病隐匿，特异性临床表现较少。在大多数情况下，这些肿瘤是在阑尾切除术后对切除组织进行病理检查时发现的。治疗方法可能包括阑尾切除术（单纯或根治性）和右半结肠切除术，具体取决于组织学类型、肿瘤大小以及淋巴结/器官受累情况等因素。本病例研究的目的是描述一例罕见的巨大阑尾黏液囊肿病例，并提高对这种疾病及其治疗选择和随访方案的认识。
我们报告一例43岁患者，因右下腹轻度疼痛就诊于我院急诊科。经过初步检查和影像学检查后，他接受了手术，术中发现并切除了一个20 cm×13 cm的巨大阑尾肿瘤。由于肉眼外观怀疑为阑尾黏液囊肿，随后经病理检查确诊。患者术后恢复顺利，出院后被纳入我们的随访计划。
总之，黏液性阑尾肿瘤是一种罕见的病理类型；它们无症状或临床体征较少且不具特异性，在许多情况下是在阑尾切除术后才被发现。
