AIM： To determine the and clinical features of prevalence, histologic types primary epithelial tumours of the vermiform appendix in a predominantly black population.METHODS： All cases of primary tumours of the appen...AIM： To determine the and clinical features of prevalence, histologic types primary epithelial tumours of the vermiform appendix in a predominantly black population.METHODS： All cases of primary tumours of the appendix identified by review of the histopathology records at the University of the West Indies between January 1987 and June 2007 were selected. Relevant pathologic and clinical data were extracted with supplementation from patient charts where available. Non-epithelial tumours were excluded. The total number of appendectomy specimens over the period was also ascertained.RESULTS： Forty-two primary epithelial tumours were identified out of 6 824 appendectomies yielding a prevalence rate of approximately 0.62%. Welldifferentiated neuroendocrine cell tumours （carcinoids, 47.6%） and benign non-endocrine cell tumours （adenomas, 45.2%） were most common with nearly equal frequency. The median age was 43 years, with no sex predilection. Carcinoid tumours occurred in younger patients （mean age 32 years）, with a male-to-female ratio of 1.2：1. A clinical diagnosis of acute appendicitis was the most common reason for appendectomy （57.1%） and was histologically confirmed in 75% （18 of 24） of cases. In total, 16.7% of cases were diagnosed after incidental appendectomy.CONCLUSION： Appendiceal epithelial tumours are rare in our experience, and are represented principally by carcinoid turnours and adenornas. Carcinoid tumours occurred in younger patients but were slightly more common in men than women. Tumours were not suspected clinically and were diagnosed incidentally in specimens submitted for acute appendicitis supporting the need for histological evaluation in all resection specimens.展开更多
Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by a...Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by adopting tender spot injection at meridian and collateral, tender spot was usually near Zusanli （足三里 ST 36）. Immediate injection with 0.9% sodium chloride in the dosage of 2-4 mL, then injection for another time after 4-6 h were given, and injection for 2-3 times a day according to the state of illness were given, injection for once a day after 2 days until pressing pain on abdomen disappeared were given. Results After 5-7 injections, the cured were 56 cases （82%）, improved were 8 cases （12%, including 4 cases with chronic appendicitis of acute attack）, ineffective were 4 cases （6%）. The total effective rate was 94%. Abdominal pain was alleviated within 1/2-1 h on average, and alleviated obviously within 8-12 h. Pressing pain and rebound tenderness were relieved obviously and disappeared gradually within 24-48 h, the average length of stay was 4-5 days. Conclusion Tender spot injection at meridian and collateral for acute simple appendicitis can rapidly alleviate abdominal pain, and gradually relieve the abdominal signs. Compared with acupuncture therapy, this thrapy has some advantages such as simple manipulation, quick effect, reliable curative effect and lower treatment cost, so it has been applied by the author for a long time.展开更多
文摘AIM： To determine the and clinical features of prevalence, histologic types primary epithelial tumours of the vermiform appendix in a predominantly black population.METHODS： All cases of primary tumours of the appendix identified by review of the histopathology records at the University of the West Indies between January 1987 and June 2007 were selected. Relevant pathologic and clinical data were extracted with supplementation from patient charts where available. Non-epithelial tumours were excluded. The total number of appendectomy specimens over the period was also ascertained.RESULTS： Forty-two primary epithelial tumours were identified out of 6 824 appendectomies yielding a prevalence rate of approximately 0.62%. Welldifferentiated neuroendocrine cell tumours （carcinoids, 47.6%） and benign non-endocrine cell tumours （adenomas, 45.2%） were most common with nearly equal frequency. The median age was 43 years, with no sex predilection. Carcinoid tumours occurred in younger patients （mean age 32 years）, with a male-to-female ratio of 1.2：1. A clinical diagnosis of acute appendicitis was the most common reason for appendectomy （57.1%） and was histologically confirmed in 75% （18 of 24） of cases. In total, 16.7% of cases were diagnosed after incidental appendectomy.CONCLUSION： Appendiceal epithelial tumours are rare in our experience, and are represented principally by carcinoid turnours and adenornas. Carcinoid tumours occurred in younger patients but were slightly more common in men than women. Tumours were not suspected clinically and were diagnosed incidentally in specimens submitted for acute appendicitis supporting the need for histological evaluation in all resection specimens.
文摘Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by adopting tender spot injection at meridian and collateral, tender spot was usually near Zusanli （足三里 ST 36）. Immediate injection with 0.9% sodium chloride in the dosage of 2-4 mL, then injection for another time after 4-6 h were given, and injection for 2-3 times a day according to the state of illness were given, injection for once a day after 2 days until pressing pain on abdomen disappeared were given. Results After 5-7 injections, the cured were 56 cases （82%）, improved were 8 cases （12%, including 4 cases with chronic appendicitis of acute attack）, ineffective were 4 cases （6%）. The total effective rate was 94%. Abdominal pain was alleviated within 1/2-1 h on average, and alleviated obviously within 8-12 h. Pressing pain and rebound tenderness were relieved obviously and disappeared gradually within 24-48 h, the average length of stay was 4-5 days. Conclusion Tender spot injection at meridian and collateral for acute simple appendicitis can rapidly alleviate abdominal pain, and gradually relieve the abdominal signs. Compared with acupuncture therapy, this thrapy has some advantages such as simple manipulation, quick effect, reliable curative effect and lower treatment cost, so it has been applied by the author for a long time.
