Shimizu A, Ohno K, Masuda Y, Endou F, Masuda Y, Ogata A, Nagai M, Obata G, Asano K
Department of Surgery, Matsudo City Hospital, Chiba, Japan.
Surg Today. 1997;27(7):653-6. doi: 10.1007/BF02388224.
We herein report the case of a 69-year old woman presenting with an abdominal mass, who was found to have a mixed mesodermal tumor (MMT) of the cecum. Imaging studies and endoscopic investigations were consistent with the diagnosis of a nonepithelial malignant tumor of the cecum. On laparotomy, a knuckle-sized firm mass involving the cecum was noticed. As a result, a right hemicolectomy was performed. Pathological examinations, including immunohistochemical staining, resulted in the diagnosis of mesodermal mixed tumor, homologous type. The patient was advised to undergo postoperative chemotherapy but she did not comply. She has been followed up as an outpatient and is still alive 1.5 years after the operation.
我们在此报告一例69岁女性患者，该患者因腹部肿块就诊，经检查发现患有盲肠混合性中胚层肿瘤（MMT）。影像学检查和内镜检查结果与盲肠非上皮性恶性肿瘤的诊断相符。剖腹手术时，发现一个累及盲肠的指关节大小的坚实肿块。因此，实施了右半结肠切除术。包括免疫组织化学染色在内的病理检查结果诊断为同源型中胚层混合肿瘤。建议患者术后接受化疗，但她未遵从医嘱。她作为门诊患者接受随访，术后1.5年仍然存活。
