Caponnetto A, Bergantino A
Divisione di Chirurgia Generale, Ospedale Civile, Regione Piemonte-USL 49, Borgosesia.
Minerva Chir. 1997 Jan-Feb;52(1-2):103-5.
The authors report case of mucinous cysto-adenocarcinoma of the vermiform appendix which was not diagnosed during appendectomy but by routine histological tests. The patients was reoperated and underwent right hemicolectomy with lymphadenectomy, ending with the creation of an ileo-transverse stomy. At the follow-up after 1, 6 and 12 months, the patient showed no signs of recurrence of the disease. The authors examine this rare pathology which, owing to the difficulty of preoperative diagnosis, often results in the patient undergoing a second operation, and given the early diffusion of the disease frequently presents a severe prognosis.
作者报告了一例阑尾黏液性囊腺癌病例，该病例在阑尾切除术中未被诊断出来，而是通过常规组织学检查确诊的。患者接受了再次手术，进行了右半结肠切除术及淋巴结清扫术，最后做了回肠横结肠造口术。在术后1个月、6个月和12个月的随访中，患者未出现疾病复发迹象。作者研究了这种罕见的病理情况，由于术前诊断困难，这种疾病常常导致患者接受二次手术，而且鉴于疾病早期扩散，其预后往往很差。
