Ruggiero R P, Costantino G
J Am Geriatr Soc. 1982 Apr;30(4):245-7. doi: 10.1111/j.1532-5415.1982.tb07094.x.
Acute inflammation of the appendix secondary to luminal obstruction is the chief reason for appendectomy. The rare association of a malignant neoplastic process with the inflammatory process is usually an unexpected finding and is often not diagnosed until the histologic study has been completed. Two patients with adenocarcinoma of the appendix are presented. They exemplify the diverse situations of intraoperative recognition with immediate definitive treatment, or surgical management after appendectomy alone. A review of the literature confirms the rarity of appendiceal adenocarcinoma in older patients. In this report, the pathophysiology of appendiceal carcinoma and guidelines for therapy are outlined. Emphasis is placed on the possible occurrence of a malignant appendiceal lesion in the elderly patient with acute appendicitis.
管腔阻塞继发的阑尾急性炎症是阑尾切除术的主要原因。恶性肿瘤过程与炎症过程的罕见关联通常是一个意外发现，往往直到组织学研究完成后才被诊断出来。本文介绍了两名阑尾腺癌患者。他们体现了术中识别并立即进行确定性治疗，或仅在阑尾切除术后进行手术管理的不同情况。文献回顾证实老年患者阑尾腺癌罕见。本报告概述了阑尾癌的病理生理学和治疗指南。重点关注老年急性阑尾炎患者发生阑尾恶性病变的可能性。
