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阑尾黏液囊肿：一种诊断治疗行为不断变化的罕见疾病的病例报告

Mucocele of the appendix: case report of a rare disease with changing diagnostic-therapeutic behavior.

作者信息

Giambusso Mauro, Urrico Giovanni Salvatore, Ciaccio Giovanni, Lauria Francesco, D'Errico Sara

机构信息

Department of General Surgery, Vittorio Emanuele Hospital, 93012, Gela, Italy.

Department of Pathological Anatomy, Sant'Elia Hospital, 93100, Caltanissetta, Italy.

出版信息

J Surg Case Rep. 2024 Jun 4;2024(6):rjae397. doi: 10.1093/jscr/rjae397. eCollection 2024 Jun.

DOI:10.1093/jscr/rjae397
PMID:38835943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11149460/
Abstract

Mucinous appendicular neoplasms are a rare and heterogeneous group of tumors, whose treatment may vary based on histologic features and extent. We present a case of low-grade appendiceal mucinous neoplasm mimicking an acute appendicitis scenario. The patient underwent appendectomy along with resection of the caecal fundus. Choosing the correct treatment according to the case by following current guidelines is crucial to avoid under- or overtreatment.

摘要

黏液性阑尾肿瘤是一组罕见且异质性的肿瘤，其治疗可能因组织学特征和范围而异。我们报告一例低级别阑尾黏液性肿瘤，其表现类似急性阑尾炎。该患者接受了阑尾切除术及盲肠底部切除术。根据当前指南针对具体病例选择正确的治疗方法对于避免治疗不足或过度治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/27f730659911/rjae397f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/c07d2550f095/rjae397f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/3a9b4fc84d0a/rjae397f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/502400f43753/rjae397f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/72cef9ba11b2/rjae397f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/27f730659911/rjae397f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/c07d2550f095/rjae397f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/3a9b4fc84d0a/rjae397f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/502400f43753/rjae397f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/72cef9ba11b2/rjae397f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa4b/11149460/27f730659911/rjae397f5.jpg

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本文引用的文献

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Beyond acute appendicitis: a single-institution experience of unexpected pathology findings after 989 consecutive emergency appendectomy.超越急性阑尾炎：989 例连续急诊阑尾切除术后意外病理发现的单中心经验。
Langenbecks Arch Surg. 2024 Mar 5;409(1):87. doi: 10.1007/s00423-024-03277-0.
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Low-grade mucinous neoplasms (LAMN) of the appendix in Germany between 2011 and 2018: a nationwide analysis based on data provided by the German Center for Cancer Registry Data (ZfKD) at the Robert Koch Institute (RKI).2011 年至 2018 年德国阑尾低级别黏液性肿瘤（LAMN）：基于罗伯特·科赫研究所（RKI）德国癌症登记数据中心（ZfKD）提供的数据进行的全国性分析。
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Hum Pathol. 2023 Feb;132:65-76. doi: 10.1016/j.humpath.2022.07.004. Epub 2022 Jul 16.
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Epidemiology, histopathology, clinical outcomes and survival of 50 cases of appendiceal mucinous neoplasms: Retrospective cross-sectional single academic tertiary care hospital experience.50例阑尾黏液性肿瘤的流行病学、组织病理学、临床结局及生存情况：单学术三级医疗中心的回顾性横断面研究经验
Ann Med Surg (Lond). 2021 Mar 6;64:102199. doi: 10.1016/j.amsu.2021.102199. eCollection 2021 Apr.
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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南：更新共识手术病例报告（SCARE）指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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The American Society of Colon and Rectal Surgeons, Clinical Practice Guidelines for the Management of Appendiceal Neoplasms.美国结肠和直肠外科医师协会，阑尾肿瘤管理临床实践指南。
Dis Colon Rectum. 2019 Dec;62(12):1425-1438. doi: 10.1097/DCR.0000000000001530.
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