Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA.
Division of Surgical Oncology, Brigham and Women's Hospital, Boston, MA.
Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-15. doi: 10.1200/EDBK_321009.
Appendiceal neoplasms include a heterogeneous group of epithelial and nonepithelial tumors that exhibit varying malignant potential. This review article summarizes current diagnostic criteria, classification systems, and optimal therapeutic strategies for the five main histopathologic subtypes of appendiceal neoplasms. In particular, the management of epithelial appendiceal neoplasms has evolved. Although their treatment has historically been extrapolated from colon cancer, improved understanding of their unique histopathologic and molecular characteristics and a growing body of published clinical data support a more nuanced approach to their management.
阑尾肿瘤包括一组异质性的上皮和非上皮肿瘤,表现出不同的恶性潜能。本文综述了阑尾肿瘤的五种主要组织病理学亚型的当前诊断标准、分类系统和最佳治疗策略。特别是,上皮性阑尾肿瘤的治疗已经发展。尽管它们的治疗历史上是从结肠癌外推而来,但对其独特的组织病理学和分子特征的认识的提高以及越来越多的已发表的临床数据支持对其管理采取更细致的方法。