阑尾肿瘤14例临床分析

Clinical Analysis of 14 Patients with Primary Appendix Tumor

目的探讨原发性阑尾肿瘤的临床特点和早期诊治要点。方法回顾性分析出现1991—2006年的14例阑尾肿瘤的临床资料。结果阑尾良性肿瘤：粘液囊肿8例。阑尾恶性肿瘤：阑尾类癌1例，阑尾腺癌5例。均行手术治疗，3例行右半结肠切除术。结论阑尾肿瘤临床少见，术前诊断困难，应提高认识。术中可疑者。应做快速病理检查，以选择适当的术式，改善预后。

Objective To summarize the clinical features of primary appendix tumor and it＇s key points of diagnosis and treatment. Methods 14 patients with primary appendix tumor treated in our hospital from 1991 to 2006 were analyzed. Results There are 8 cases with benign tumors （mutinous cystadenomas 8 cases） and 6 cases with malignant tumors（appendix careinoid I cases,appendix adenocarcinoma 5 cases）.All of its were treated by surgical resection.Right hemicoleetomy was performed on 3 patients. Conclusion Appendix tumors are uncommon and difficult to be diagnosed. If a malignant tumor of the appendix was suspected, a biopsy during operation should be done to select a proper operation.