阑尾切除标本中的恶性肿瘤发生率。
Incidence of Malignancy in Appendicectomy Specimens.
作者信息
Parkash Deep, Bai Rani, Al Aamri Hamed H, Parkash Simran, Abdelwahab Elsayed G, Albatanony Ayman A
机构信息
Department of General Surgery, Ibra Referral Hospital, Ibra, Oman.
Department of General Surgery, Menoufia University Hospital, Menoufia Faculty of Medicine, Shibin Alkom, Menoufia, Egypt.
出版信息
Asian Pac J Cancer Prev. 2025 Feb 1;26(2):371-373. doi: 10.31557/APJCP.2025.26.2.371.
OBJECTIVE
To study the incidence of malignancy as well as neoplasia in the appendicectomy specimens routinely sent for histopathology.
METHODS
We conducted this retrospective cohort study of 947 patients diagnosed with acute appendicitis with subsequent appendectomy in the period between 1 January 2018 and 31 December 2022 (5 years) at Ibra hospital, North Sharqiya, Sultanate of Oman. We analyzed the clinical data of the cohort including demographic information, diagnosis, pre-operative imaging, histological diagnosis and incidence of malignancy in appendicectomy specimens.
RESULTS
The median age of patients was 36.4 years (range 13-80 years). The male-to-female ratio in the appendicectomy cohort was 1.03:1. Post-operative histology revealed out of 947 cases just 8(0.8%) cases were diagnosed as cancer. Acute appendicitis 851(89.9%) and negative appendicectomy 88(9.3%).
CONCLUSION
The incidental identification of appendiceal cancers in the resected specimens after acute appendicitis is not uncommon. It is recommended to consider such diagnosis when dealing with acute appendicitis in older patients with longer symptom history and in the presence of peri-appendiceal mass.
目的
研究常规送检组织病理学检查的阑尾切除标本中恶性肿瘤及瘤形成的发生率。
方法
我们对2018年1月1日至2022年12月31日（5年）期间在阿曼苏丹国北沙尔基亚省伊卜拉医院被诊断为急性阑尾炎并随后接受阑尾切除术的947例患者进行了这项回顾性队列研究。我们分析了该队列的临床数据，包括人口统计学信息、诊断、术前影像学检查、组织学诊断以及阑尾切除标本中恶性肿瘤的发生率。
结果
患者的中位年龄为36.4岁（范围13 - 80岁）。阑尾切除队列中的男女比例为1.03:1。术后组织学检查显示，在947例病例中，仅有8例（0.8%）被诊断为癌症。急性阑尾炎851例（89.9%），阑尾切除阴性88例（9.3%）。
结论
急性阑尾炎后切除标本中偶然发现阑尾癌并不罕见。建议在处理症状持续时间较长的老年患者的急性阑尾炎且存在阑尾周围肿块时考虑这种诊断。
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