Gilhome R W, Johnston D H, Clark J, Kyle J
Br J Surg. 1984 Jul;71(7):553-5. doi: 10.1002/bjs.1800710727.
Ten cases of primary adenocarcinoma of the vermiform appendix are presented. The condition is rare and usually presents after middle age as acute appendicitis. It is seldom recognized during appendicectomy. The tumours resemble colonic adenocarcinomas but, because of peculiarities in the anatomy of the appendix, there is a tendency to early local spread. Right hemicolectomy performed as soon as the true nature of the lesion is recognized is the treatment of choice and has been shown to improve survival. Even after hemicolectomy the prognosis must be guarded, as local spread of disease may not be controlled in many cases.
本文报告了10例原发性阑尾腺癌病例。这种情况很罕见，通常在中年后以急性阑尾炎的形式出现。在阑尾切除术中很少被识别出来。这些肿瘤类似于结肠腺癌，但由于阑尾解剖结构的特殊性，有早期局部扩散的趋势。一旦识别出病变的真实性质，立即进行右半结肠切除术是首选的治疗方法，并且已被证明可以提高生存率。即使在进行了半结肠切除术后，预后也必须谨慎，因为在许多情况下，疾病的局部扩散可能无法得到控制。
