阑尾黏液性肿瘤临床病理分析

Clinicopathological observation of appendical mucinous neoplasms

目的:探讨阑尾黏液性肿瘤的临床病理特征。方法:对2例阑尾黏液性肿瘤的临床、病理和免疫学表型进行观察、分析及文献复习。结果:例1为-47岁女性,症状主要为阴道不规则出血四月,病理确诊为阑尾交界性黏液性乳头状囊腺瘤。例2为-66岁女性,症状主要为右下腹痛一天,病理确诊为阑尾高分化黏液性囊腺癌。结论:阑尾黏液性肿瘤是一种少见的疾病,临床及影像学检查容易误诊,确诊依靠病理检查。

Objective：To investigate the clinical and pathological features of appendieeal mucinous neoplasms. Methods： The clinical data were retrospectively analyzed for two cases of appendiceal mucinous neoplasms. His- topathological changes of the tumor were also observed in the paraffin - embedded tissue samples. Results ： One case of 47 - year - old female presented with irregular vaginal bleeding half four months. The pathologcal result showed ap- pendieeal mueinous borderline tumor. Another case of 66 - year - old female presented with bellyache after half a day. The pathological result showed appendieal well - differentiated mueinous adenocarcinoma. Conclusion ： Appen- dical mucinous neoplasms is a rare tumor. Its diagnosis depends on histopathology and histochemistry. Its clinical man- ifestation should also be taken into account.