Zhang Z, Gu J, Zhu Z
Department of Pathology, Medical School of Hubei Sanxia University, Yichang.
Zhonghua Jie He He Hu Xi Za Zhi. 1996 Aug;19(4):236-8.
To study the clinicopathological features and diagnosis of tuberculosis of the appendix.
Fifteen cases (0.27%) with tuberculosis of appendix selected from 5,621 histopathologically examined appendectomy specimens between June 1959 and May 1995 were analyzed retrospectively.
All the cases with tuberculosis of appendix were commonly occurred in the young (< or = 34 years in 12 cases) and in females (in 11 cases). They were usually secondary to tuberculosis elsewhere in the abdomen. By microscopy, proliferative type of the lesions were found in 11 cases, while ulcerative type in 4 cases. Fourteen cases (accounting for 93%) were clinically misdiagnosed. It was difficult to be differentiated from chronic appendicitis, tuberculosis or tumor of the ileocecum and malignant tumor of the appendix.
Definite diagnosis of tuberculosis of the appendix mainly depend on the histopathological examination. It is recommended that in order to avoid misdiagnosis, all the surgically removed appendix specimens should be histopathologically examined, no matter whether the specimens are macroscopically normal or not.
研究阑尾结核的临床病理特征及诊断方法。
回顾性分析1959年6月至1995年5月期间5621例经组织病理学检查的阑尾切除标本中15例（0.27%）阑尾结核病例。
所有阑尾结核病例多见于年轻人（12例年龄≤34岁）及女性（11例）。通常继发于腹部其他部位的结核。显微镜下，11例为增生型病变，4例为溃疡型病变。14例（占93%）在临床上被误诊。难以与慢性阑尾炎、回盲部结核或肿瘤以及阑尾恶性肿瘤相鉴别。
阑尾结核的确切诊断主要依靠组织病理学检查。建议为避免误诊，所有手术切除的阑尾标本均应进行组织病理学检查，无论标本肉眼外观是否正常。
