摘要
背景与目的:阑尾类癌临床少见,缺乏典型的临床特征,本研究拟通过13例阑尾类癌病例回顾性分析探讨阑尾类癌的临床特征和手术治疗原则。方法:回顾性分析我院从1985年至2000年收治的13例阑尾类癌患者的临床资料、手术方式及预后。结果:13例阑尾类癌患者均为术中及术后病理确诊,术前误诊率为100%。同期阑尾炎手术4483例,阑尾类癌占同期阑尾炎手术患者的0.29%(13/4483),其中发生在阑尾体部及尾部的占12例(占92.3%),肿瘤<2cm的12例(占92.3%),首次手术方式采用单纯阑尾切除术的11例(占84.6%),2例行右半结肠切除。除3例失访、1例术后7年死于心血管疾病外,其余9例至今未发现类癌转移及复发,均生存5年以上。结论:阑尾类癌没有特异临床症状,其恶性程度低;肿瘤<1cm、发生在阑尾体尾部的阑尾类癌可行单纯阑尾切除术。
BACKGROUND &OBJECTIVE: Appendix carcinoid tumor is a rare diseas e, and lack of classic clinical features. This study was to explore clinical chara cteristics and treatment principles of appendix carcinoid tumor. METHODS: Clinic al data, surgical procedures, and prognosis of 13 patients with appendix carcino id tumor received appendectomy from 1985 to 2000 in our hospital were analyzed r etrospectively. RESULTS: The diagnosis was established through operation and pat hology. Patients with appendix carcinoid tumor comprised 0.29%of 4483 patients underwent appendectomy during the same period. The tumors were located at the ti p and the middle of appendix in 12 patients(92.3%). The diameter of tumor in 12 patients(92.3%) was less than 2 cm. Single appendectomy was performed on 11 pa tients, right-side colonectomy was performed on 2 patients. Nine patients were alive and remained free of tumor recurrence and metastasis, 3 were lost of follo w up, and 1 died of heart disease. The 5-year survival rate is 100%. CONCLUSIO NS: Appendix carcinoid tumor has no specific clinical symptom, and located at th e tip and the middle of appendix; tumor with diameter of < 1 cm may be resected by single appendectomy.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
2004年第z1期1582-1584,共3页
Chinese Journal of Cancer
关键词
阑尾
类癌
外科手术
预后
Appendix
Carcinoid tumor
Surgery
Prognosis
