Meden H, Conrad A, Brinck U, Rath W, Kuhn W
Universitäts-Frauenklinik, Universität Göttingen.
Zentralbl Gynakol. 1994;116(8):456-60.
We report our experiences on three cases with pathologic findings of the appendix vermiformis diagnosed during gynecological operations including mucocele, carcinoid and adenocarcinoma. Mucocele of the appendix is a descriptive term for an abnormal mucous accumulation distending the appendiceal lumen, which can be complicated by pseudomyxoma peritonei. Carcinoid tumours arise from the neuroendocrine system and present a characteristic morphologic picture. Predilicted sites are the appendix and the small bowel. Adenocarcinomas of the appendix that are not associated with mucoceles have a clinical course resembling large bowel cancer. Patients with pathological findings of the appendix may be asymptomatic or present with a palpable right lower quadrant mass and/or pain. We discuss differential diagnosis and present a spectrum of histologic findings.
我们报告了在妇科手术中诊断出的三例阑尾病理结果的病例经验，包括黏液囊肿、类癌和腺癌。阑尾黏液囊肿是一个描述性术语，用于描述阑尾腔内异常黏液积聚导致管腔扩张的情况，可并发腹膜假黏液瘤。类癌肿瘤起源于神经内分泌系统，具有特征性的形态学表现。好发部位是阑尾和小肠。与黏液囊肿无关的阑尾腺癌的临床病程类似于大肠癌。阑尾有病理结果的患者可能无症状，或表现为右下腹可触及肿块和/或疼痛。我们讨论了鉴别诊断并展示了一系列组织学表现。
