Hananel N, Powsner E, Wolloch Y
Department of Surgery B, Golda Medical Center (Hasharon Hospital), Petah Tikva, Israel.
Isr J Med Sci. 1993 Nov;29(11):733-4.
A retrospective review of the files of 1,740 appendectomies performed during a 10-year period disclosed 13 patients (0.7%) with primary appendiceal tumors. Adenocarcinoma of the appendix was diagnosed in 6 patients (0.3%), which is a two- to four-fold higher incidence than reported in the literature. The other seven patients had benign tumors and only appendectomy was performed. The female to male ratio of adenocarcinoma was 5:1. All six adenocarcinoma patients, classified histologically as Dukes' B stage, underwent right hemicolectomy, and were disease free following a mean follow-up of 35 months. The results of our policy, also recommended by others, confirmed the benefit of right hemicolectomy in all patients with confirmed primary appendiceal carcinomas.
对10年间进行的1740例阑尾切除术病例档案进行回顾性研究发现，有13例（0.7%）患者患有原发性阑尾肿瘤。6例（0.3%）患者被诊断为阑尾腺癌，这一发病率比文献报道的高出两到四倍。其他7例患者患有良性肿瘤，仅接受了阑尾切除术。腺癌患者的男女比例为5:1。所有6例组织学分类为杜克B期的腺癌患者均接受了右半结肠切除术，平均随访35个月后无疾病复发。我们的治疗策略（也得到了其他人的推荐）的结果证实，对所有确诊为原发性阑尾癌的患者进行右半结肠切除术是有益的。
