原发性阑尾腺癌1例报告并文献回顾

Primary appendiceal adenocarcinoma:a case report and literature review

目的阐述原发性阑尾腺癌的临床上易忽视的问题、诊断要点及治疗方法。方法回顾性分析收治的1例原发性阑尾腺癌,并进行国内外文献回顾。结果本例患者以急性阑尾炎收治入院,术后病理确诊为阑尾腺癌,随访半年无复发不适。结论原发性阑尾腺癌发病罕见,临床中应充分重视阑尾肿瘤的发生,术中行快速病理检查并及时行右半结肠切除术。可提高患者预后。

Objective To elucidate the clinical problems,diagnosis and treatment of primary appendiceal adenocarcinoma.Methods A case of primary appendiceal adenocarcinoma was analyzed retrospectively,and its literature at home and abroad was reviewed.Results The patient was admitted to the hospital with acute appendicitis and was confirmed as appendiceal adenocarcinoma by postoperative pathological diagnosis.No recurrence or discomfort occurred during half a year of follow-up.Conclusion Primary adenocarcinoma of the appendix is rare and should be paid more attention in clinic.Rapid pathological assessment and right hemicolectomy during operation can improve the prognosis of patients.