阑尾黏液性肿瘤1例

A case report of appendiceal mucinous neoplasms

目的提高医疗工作者对阑尾黏液性肿瘤的认识程度。方法收集阑尾黏液性肿瘤1例的临床资料,包括术前检查(实验室检查与影像学检查结果)、治疗经过以及术后病理结果。结果该例病人行腹腔镜下阑尾切除术,术后病理诊断为(回盲部)阑尾腔扩张,积聚大量黏液,肌肉组织内见大量细小钙化灶,考虑阑尾黏液性肿瘤伴钙化,不排除复发潜能。结论阑尾黏液性肿瘤的临床症状不典型,易误诊。术中需行冰冻病理检查,明确肿物性质后再选择具体术式。

Objective To improve the understanding of medical workers appendiceal about mucinous neoplasms.Methods The clinical data of 1 case of appendicealmucinous neoplasms were collected,including the results of preoperative examination(labora tory examination and imaging examination),treatment process and postoperative pathological results.Results Laparoscopic appen dectomy was performed in this case.The postoperative pathological diagnosis was dilation of the appendix cavity,accumulation of a large amount of mucus was,and a large number of small calcifications in the muscle tissue.Considering the appendiceal mucinous neoplasms with calcification,the recurrence potential could not be excluded.Conclusion The clinical symptoms of appendiceal mucinous neoplasms are atypical and easy to be misdiagnosed.Frozen pathological examination should be performed during the op erationto determine the nature of the tumor before selecting the specific operation mode.