Syracuse D C, Perzin K H, Price J B, Wiedel P D, Mesa-Tejada R
Ann Surg. 1979 Jul;190(1):58-63. doi: 10.1097/00000658-197907000-00013.
Carcinoid of the appendix occurred in 92 of 400,000 surgical pathology specimens covering 70 years, and followed previously reported incidences by age, sex, symptoms, size, localization and histology. Invasion of the mesoappendix occurred in 13 cases, and in two of these, a reoperative ileocolectomy demonstrated regional node metastases. No distant metastases or fatalities appeared. Tumor size correlated with mesoappendiceal invasion. Carcinoid invasion of the mesoappendix may provide a valuable marker for more distant tumor spread, and justify an aggressive surgical approach in selected patients.
在涵盖70年的400,000份手术病理标本中，阑尾类癌出现了92例，并按照先前报告的发病率，分析了其年龄、性别、症状、大小、位置及组织学情况。13例出现阑尾系膜侵犯，其中2例再次行回盲部结肠切除术时发现区域淋巴结转移。未出现远处转移或死亡病例。肿瘤大小与阑尾系膜侵犯相关。阑尾系膜受类癌侵犯可能是更远处肿瘤播散的一个重要标志，这也为部分患者采取积极的手术方式提供了依据。
