Ramsay J A, Rose T H, Ross T
Department of Pathology, Women's College Hospital, University of Toronto, Toronto, Ont.
Can J Surg. 1996 Feb;39(1):53-6.
A 38-year-old woman with stage T4N0M0 adenocarcinoma of the cecum presented with what seemed to be an appendiceal abscess. She had a 10-month history of intermittent abdominal pain in the right lower quadrant. Initial laparotomy revealed an abscess in that quadrant. The abscess was drained. A mass in the cecum, associated with dense fibrous tissue and abscess formation, was found on subsequent surgical exploration. Pathological examination revealed a well-differentiated mucinous adenocarcinoma of the cecum with transmural invasion. The lesion had replaced most of the vermiform appendix and was associated with a periappendiceal abscess. Colonic carcinoma masquerading as acute appendicitis or an appendiceal abscess is a well-recognized entity in the elderly but may be overlooked in younger patients because malignant disease is not suspected.
一名38岁患有盲肠T4N0M0期腺癌的女性，表现为疑似阑尾脓肿。她有10个月的右下腹间歇性腹痛病史。初次剖腹探查发现该象限有一个脓肿，脓肿已引流。在随后的手术探查中发现盲肠有一个肿块，伴有致密纤维组织和脓肿形成。病理检查显示为盲肠高分化黏液腺癌，伴有透壁浸润。病变已取代大部分阑尾，并伴有阑尾周围脓肿。伪装成急性阑尾炎或阑尾脓肿的结肠癌在老年人中是一种公认的情况，但在年轻患者中可能会被忽视，因为未怀疑有恶性疾病。
