Meyer C, Calderoli H, Alexiou D, Hollender L F
Acta Chir Belg. 1976 May;75(3):331-40.
From 2 personal cases the authors present a pathological appraisal of appendicular mucoceles. They distinguish between a benign kind with an atrophic mucous membrane and a malignant type with a hyperplasic epithelium arranged in papillary and vegetating structures; this is a neoplasm with local malignancy. This variety remains the most liable to become a peritoneal pseudo-myxoma representing the most serious complication of the appendicular mucecele. Treatment of the mucocele, which consists in an appenicectomy or a right bemi-colectomy, usually yields good results provided operative rupture can be avoided. Contrarily the peritoneal pseudo-myxoma remains a serious disease with a disappointing treatment.
作者通过2例个人病例对阑尾黏液囊肿进行了病理学评估。他们区分了一种伴有萎缩性黏膜的良性类型和一种具有呈乳头状和赘生性结构排列的增生性上皮的恶性类型；这是一种具有局部恶性的肿瘤。这种类型仍然最容易发展为腹膜假黏液瘤，这是阑尾黏液囊肿最严重的并发症。黏液囊肿的治疗包括阑尾切除术或右半结肠切除术，只要能避免术中破裂，通常会取得良好效果。相反，腹膜假黏液瘤仍然是一种严重的疾病，治疗效果令人失望。
