Leinati A, Iacovoni P, Cavallero G, Dealessi M, Perrone F, Zanardi F, Anselmo E
II Divisione di Chirurgia, Ospedale Civile-Alessandria.
Minerva Chir. 1995 May;50(5):501-4.
The carcinoid of Meckel's diverticulum is a very rare lesion, and about 100 cases in the literature have been described. Most of these tumors are casually find out at autopsy or laparoscopy for other pathology. Seldom was described a sintomatology correlated to carcinoid of Meckel's diverticulum presence, except the rare case where was formed a carcinoid syndrome. Authors present a clinical case where was casually found by a carcinoid of Meckel's diverticulum during an appendicectomy. The intention is to underline the importance of research the Meckel's diverticulum every time, and in particular in case of young subjects, remove it and perform an histological valuation, to exclude the presence of a carcinoid that could give metastases to local lymph-nodes or liver.
梅克尔憩室类癌是一种非常罕见的病变,文献中已描述了约100例。这些肿瘤大多是在因其他病理情况进行尸检或腹腔镜检查时偶然发现的。除了罕见的类癌综合征形成病例外,很少有与梅克尔憩室类癌存在相关的症状学描述。作者介绍了一例在阑尾切除术中偶然发现梅克尔憩室类癌的临床病例。目的是强调每次检查梅克尔憩室的重要性,特别是对于年轻患者,要切除并进行组织学评估,以排除可能发生局部淋巴结或肝转移的类癌的存在。