Gopalan Vasundara, Khan Imran Ali, Zade Anup A, Malhotra Geetika, Durge Shubham, Jain Yashraj, Rekavari Sai Goutham
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 4;16(8):e66142. doi: 10.7759/cureus.66142. eCollection 2024 Aug.
Mucocles of the appendix, encompassing mucinous cystadenomas and mucinous cystadenocarcinomas, represent rare but clinically significant appendiceal lesions characterized by the accumulation of mucin within the appendix lumen. This review explores the diagnostic complexities and treatment strategies associated with mucocles, emphasizing the importance of its accurate recognition and management. Diagnostic challenges arise due to overlapping symptoms with acute appendicitis and other appendiceal pathologies, necessitating a multidimensional approach that includes imaging, histopathological analysis, and clinical correlation. Treatment options range from appendectomy for benign lesions to more extensive surgical procedures, such as right hemicolectomy for malignant forms. Prognostic factors, including histological subtype and tumor size, influence treatment decisions and long-term outcomes. By synthesizing current evidence and clinical insights, this review aims to provide a comprehensive framework for clinicians to navigate the complexities of mucocles of the appendix, offering perspectives that can guide effective management and future research endeavors.
阑尾黏液性肿物,包括黏液性囊腺瘤和黏液性囊腺癌,是罕见但具有临床意义的阑尾病变,其特征是阑尾腔内黏液积聚。本综述探讨了与阑尾黏液性肿物相关的诊断复杂性和治疗策略,强调了准确识别和管理它的重要性。由于与急性阑尾炎和其他阑尾病变症状重叠,诊断面临挑战,因此需要一种多维度方法,包括影像学检查、组织病理学分析和临床相关性分析。治疗选择范围从良性病变的阑尾切除术到更广泛的手术程序,如恶性病变的右半结肠切除术。预后因素,包括组织学亚型和肿瘤大小,会影响治疗决策和长期结果。通过综合当前证据和临床见解,本综述旨在为临床医生提供一个全面的框架,以应对阑尾黏液性肿物的复杂性,提供可指导有效管理和未来研究工作的观点。