原发性阑尾腺癌

Primary Adenocarcinoma of Appendix

目的 :探讨原发性阑尾腺癌的诊断 ,鉴别诊断。方法 :对 9例原发性阑尾腺癌进行临床和病理观察。结果 :原发性阑尾腺癌一般好发于中老年患者 ,年龄在 40岁以上 ,临床最常见症状是右下腹痛 ,结肠造影、肠镜检查可发现回盲部肿块及阑尾的扩张。组织学分为粘液腺癌 ,腺癌 ,一般分化较好。结论 :原发性阑尾腺癌的诊断 ,需大体观察与镜检相结合 ,仔细查找 ,细心鉴别 ,方能确诊。

Objective:To study the diagnosis,differential diagnosis of primary adenocarcinoma of appendix.Methods:Nine cases were studied by clinciopathological methods.Results:Primary adenocarcinoma of appendix usually happened in middle aged and elder people who were over forty years. The main symptom was abdominal pain on the right. Ileocecum neoplasms and expansion of appendix would be found by colorectal radiographic and endoscoppic examinations.Mucoid adenocarcinoma and adenocarcinoma types which were well differentiated could be observed.Conclusions:The diagnosis of primary adenocarcinoma would be right through macroscopy and histology.