Hananel N, Powsner E, Wolloch Y
Department of Surgery B, Rabin Medical Center, Golda Campus (Hasharon Hospital), Petah-Tikva, Israel.
Eur J Surg. 1998 Nov;164(11):859-62. doi: 10.1080/110241598750005282.
To describe our experience with primary appendiceal tumours.
Retrospective study.
University hospital, Israel.
2520 patients who had appendectomies during the 14 years, January 1982-December 1996.
22 patients 5 male and 17 female, mean age 56.2 years, had primary neoplasms; 14 were carcinoid tumours and villous adenomas and were treated by appendicectomy only. Adenocarcinoma was diagnosed in 8 patients (0.3%), 5 after appendicectomy (0.2%) which is twice the reported incidence. They were all treated by right hemicolectomy. Seven of the patients were classified as Dukes' B and one as Dukes' C. All patients were alive and disease-free after a mean follow-up period of 57.4 months.
Right hemicolectomy is the treatment of choice for adenocarcinoma of the appendix.
描述我们治疗原发性阑尾肿瘤的经验。
回顾性研究。
以色列大学医院。
1982年1月至1996年12月这14年间接受阑尾切除术的2520例患者。
22例患者（5例男性，17例女性，平均年龄56.2岁）患有原发性肿瘤；14例为类癌肿瘤和绒毛状腺瘤，仅接受了阑尾切除术治疗。8例患者（0.3%）被诊断为腺癌，其中5例在阑尾切除术后被诊断（0.2%），这是报告发病率的两倍。他们均接受了右半结肠切除术治疗。7例患者被归类为杜克B期，1例为杜克C期。平均随访57.4个月后，所有患者均存活且无疾病。
右半结肠切除术是阑尾腺癌的首选治疗方法。
