Aranha G V, Reyes C V
Dis Colon Rectum. 1979 Oct;22(7):472-6. doi: 10.1007/BF02586933.
A 28-year review of the records at Hines V.A. Medical Center revealed 17 primary epithelial tumors of the appendix. Five of these tumors were benign and 12 malignant. It is suggested that the term mucocele be abandoned, because it represents the end result rather than a definite pathologic entity. The majority of benign tumors and carcinoid tumors of the appendix are discovered incidentally to other procedures. The majority of adenocarcinomas cause symptoms and signs of appendicitis. Simple appendectomy is sufficient treatment of all benign tumors of the appendix, and for all carcinoids that show no gross local metastases and are less than 2 cm in diameter. Simple appendectomy followed by right hemicolectomy or initial right hemicolectomy is the treatment of choice for all carcinoids of the appendix that show gross local metastases and are 2 cm or more in diameter and for all adenocarcinomas of the appendix, whether mucinous or colonic, in the absence of distant metastasis. A new classification for primary epithelial tumors of the appendix is suggested.
对海因斯退伍军人医疗中心的记录进行的一项为期28年的回顾显示，阑尾原发性上皮性肿瘤有17例。其中5例为良性肿瘤，12例为恶性肿瘤。有人建议放弃“黏液囊肿”这一术语，因为它代表的是最终结果而非明确的病理实体。阑尾的大多数良性肿瘤和类癌是在其他手术过程中偶然发现的。大多数腺癌会引起阑尾炎的症状和体征。单纯阑尾切除术足以治疗阑尾的所有良性肿瘤，以及所有未出现肉眼可见局部转移且直径小于2厘米的类癌。对于所有出现肉眼可见局部转移且直径2厘米或更大的阑尾类癌，以及所有阑尾腺癌（无论为黏液性还是结肠型）且无远处转移的情况，首选的治疗方法是先进行单纯阑尾切除术，然后进行右半结肠切除术或一开始就进行右半结肠切除术。本文提出了一种阑尾原发性上皮性肿瘤的新分类方法。
