阑尾源性腹膜假黏液瘤误诊为阑尾炎1例

A Case of Appendiceal Peritoneal Pseudomyxoma Misdiagnosed as Appendicitis

目的提高临床医疗工作者对阑尾黏液性肿瘤的诊治能力,减少医疗纠纷的发生。方法收集阑尾黏液性肿瘤1例的临床资料,包括术前检查(实验宰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探查术,术中活检钳取病理样本,术后病理诊断为低级别阑尾黏液性肿瘤。术后予以患者行腹腔灌注化疗,患者病情好转,顺利出院。结论阑尾黏液性肿瘤的临床症状与阑尾炎相似度高,不易区分,易误诊。需术中行快速冰冻病理检查,明确肿物性质后再选择具体治疗方式。

Objective To improve the ability of clinical medical workers in the diagnosis and treatment of appendiceal mucinous tumors and to reduce the occurrence of medical disputes.Methods Clinical data of 1 case of appendiceal mucinous tumor were collected,including preoperative examination(laboratory tests and imaging results),treatment course and postoperative pathological results.Results The patient underwent laparoscopic exploration.Pathological samples were taken through biopsy forceps during the operation.The postoperative pathological diagnosis was low-grade appendiceal mucinous tumor.After the operation,the patient underwent intraperitoneal perfusion chemotherapy,and his condition improved and he was discharged successfully.Conclusion The clinical symptoms of appendiceal mucinous tumor are similar to those of appendicitis,which are difficult to distinguish and misdiagnose.Rapid frozen pathological examination needs to be performed during the operation to determine the nature of the mass before the specific treatment is selected.