阑尾黏液性肿瘤的诊断和治疗研究

Study on Diagnosis and Treatment of Appendiceal Mucinous Tumor

阑尾黏液性肿瘤是阑尾上皮性肿瘤的一种,发病率低,临床较为罕见。其早期症状缺乏特异性,术前主要依据血清学和影像学检查诊断,但误诊率较高,确诊仍依靠术后病理检查,而目前阑尾黏液性肿瘤仍缺乏统一的诊断标准和规范的治疗指南。临床上早期阑尾黏液性肿瘤主要通过手术治疗,中晚期肿瘤除手术治疗外,辅以化学治疗。本文现结合近年来文献报道,对阑尾黏液性肿瘤的分类、诊断及治疗进行综述,以期为临床诊治阑尾黏液性肿瘤提供参考。

Appendiceal mucinous neoplasms are a kind of epithelial tumors of the appendix,with low incidence and clinical rarity.Its early symptoms lack specificity,and preoperative diagnosis is mainly based on serological and imaging examination,with a high misdiagnosis rate,and the most accurate diagnosis depends on postoperative pathological examination.However,there is still no uniform diagnostic criteria for appendiceal mucinous neoplasms,and no standardized treatment guidelines.At present,there is still a lack of unified diagnostic criteria for appendiceal mucinous tumors and no standardized treatment guidelines.Clinically,early appendiceal mucinous neoplasms are mainly treated by surgery,and advanced tumors are supplemented by chemotherapy in addition to necessary surgical treatment.In this paper,the classification,diagnosis and treatment of appendiceal mucinous tumors are reviewed in order to provide reference for clinical diagnosis and treatment of this disease.