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阑尾印戒细胞癌:急性阑尾炎的非典型病因——病例研究及当前知识综述

Appendiceal Signet Ring Cell Carcinoma: An Atypical Cause of Acute Appendicitis-A Case Study and Review of Current Knowledge.

作者信息

Andjelkovic Branko, Stojanovic Bojan, Stojanovic Milica Dimitrijevic, Milosevic Bojan, Cvetkovic Aleksandar, Spasic Marko, Jakovljevic Stefan, Cvetkovic Danijela, Stojanovic Bojana S, Milosev Danijela, Mitrovic Minja, Stankovic Vesna

机构信息

Department of General Surgery, University Clinical Center Kragujevac, 34000 Kragujevac, Serbia.

Department of Surgery, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

出版信息

Diagnostics (Basel). 2023 Jul 13;13(14):2359. doi: 10.3390/diagnostics13142359.

Abstract

Appendiceal signet ring cell carcinoma (ASRCC) is a rare and aggressive form of appendiceal cancer, often presenting with nonspecific symptoms that overlap with acute appendicitis. Early diagnosis and appropriate management are crucial for improving patient outcomes in these rare malignancies. This case report and literature review aims to raise awareness among clinicians about ASRCC of the appendix as a cause of acute appendicitis and highlight the importance of considering this diagnosis in patients with atypical presentations or unexpected histopathological findings. We present a 65-year-old female patient with ASRCC who underwent successful surgical treatment and remains disease-free at the one-year follow-up. It also highlights the necessity of early detection and appropriate treatment in order to improve patient outcomes. In addition, a comprehensive literature review is provided, discussing the clinical presentation, histopathological characteristics, potential pathogenesis, treatment options, and prognosis of ASRCC.

摘要

阑尾印戒细胞癌(ASRCC)是一种罕见且侵袭性强的阑尾癌,常表现出与急性阑尾炎重叠的非特异性症状。早期诊断和恰当治疗对于改善这些罕见恶性肿瘤患者的预后至关重要。本病例报告及文献综述旨在提高临床医生对作为急性阑尾炎病因的阑尾ASRCC的认识,并强调在具有非典型表现或意外组织病理学发现的患者中考虑这一诊断的重要性。我们报告一例65岁患有ASRCC的女性患者,其接受了成功的手术治疗,在一年随访时仍无疾病复发。这也凸显了早期检测和恰当治疗以改善患者预后的必要性。此外,还提供了一篇全面的文献综述,讨论了ASRCC的临床表现、组织病理学特征、潜在发病机制、治疗选择及预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b3/10378069/9e44aa842347/diagnostics-13-02359-g001.jpg

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