阑尾黏液性肿瘤临床病理分析

Analysis of Clinicopathological Observation of Appendiceal Mucinous Neoplasms

目的探讨阑尾黏液性肿瘤的临床及病理学特征,诊断,鉴别诊断及预后。方法回顾性分析5例阑尾黏液性肿瘤的临床资料,组织病理学特点,及随访情况。结果 5例病例中阑尾黏液性囊腺瘤2例,阑尾低级别粘液性肿瘤例,高分化黏液囊腺癌1例,患者为中老年,主要临床症状有右下腹反复疼痛不适,下腹部肿块,可伴发腹膜假黏液瘤,其中1例有术后复发现象,有特定的病理结构和细胞学诊断特征。结论阑尾黏液性肿瘤属于少见肿瘤,有其特定的临床及病理特征,容易误诊,可伴发腹膜假黏液瘤。正确的病理诊断和分型,及标准的治疗非常重要。

Objective To investigate the clinical,pathological features,diagnosis,differential diagnosis and prognosis of the appendiceal mucinous neoplasms. Methods Clinical data,pathological features and follow-up of 5 cases of appendiceal mucinous neoplasms were retrospectively analyzed. Results There were 2 cases for mucinous cystadenoma of the appendix,cases for low-grade appendiceal mucinous tumor,1 case for high differentiated mucinous cystadenocarcinoma,the patient was middle-aged,major clinical symptoms were right lower abdominal pain and discomfort,abdominal mass with peritoneal pseudo mucinous tumor. Among them,1 case of postoperative existed recurrence phenomenon,specific pathological and cytological diagnosis characteristics. Conclusion Appendiceal mucinous neoplasms belongs to rare tumor,with its specific clinical and pathological features,it is easy to be misdiagnosed,and can be accompanied by peritoneal pseudo mucinous tumor. Correcting pathological diagnosis,classification,and standard treatment are very important.