中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
5期
19-21
,共3页
原发性阑尾腺癌%诊断%治疗
原髮性闌尾腺癌%診斷%治療
원발성란미선암%진단%치료
Primary adenocarcinoma of appendix%Diagnosis%Treatment
[目的]探讨阑尾腺癌患者的临床特征和诊断、治疗方法.[方法]回顾性分析丹江口市汉江医院自1990年7月至2010年7月间收治的11例阑尾腺癌患者的临床特征、诊断、治疗及预后资料.[结果]原发性阑尾腺癌是胃肠道少见的恶性肿瘤,临床表现无特异性,发病年龄为39～84岁,中位年龄为61岁；男女比为4:7.所有患者均行手术治疗,术前腹部CT检查对诊断有一定的帮助,根治性右半结肠切除手术是标准手术方法.[结论]阑尾腺癌术前诊断非常困难,准确诊断主要依赖术中或术后的病理检查.Ⅰ期肿瘤可选择单纯阑尾切除术,但对于高分期的肿瘤,右半结肠根治术为常规推荐的治疗方式.
[目的]探討闌尾腺癌患者的臨床特徵和診斷、治療方法.[方法]迴顧性分析丹江口市漢江醫院自1990年7月至2010年7月間收治的11例闌尾腺癌患者的臨床特徵、診斷、治療及預後資料.[結果]原髮性闌尾腺癌是胃腸道少見的噁性腫瘤,臨床錶現無特異性,髮病年齡為39～84歲,中位年齡為61歲；男女比為4:7.所有患者均行手術治療,術前腹部CT檢查對診斷有一定的幫助,根治性右半結腸切除手術是標準手術方法.[結論]闌尾腺癌術前診斷非常睏難,準確診斷主要依賴術中或術後的病理檢查.Ⅰ期腫瘤可選擇單純闌尾切除術,但對于高分期的腫瘤,右半結腸根治術為常規推薦的治療方式.
[목적]탐토란미선암환자적림상특정화진단、치료방법.[방법]회고성분석단강구시한강의원자1990년7월지2010년7월간수치적11례란미선암환자적림상특정、진단、치료급예후자료.[결과]원발성란미선암시위장도소견적악성종류,림상표현무특이성,발병년령위39～84세,중위년령위61세；남녀비위4:7.소유환자균행수술치료,술전복부CT검사대진단유일정적방조,근치성우반결장절제수술시표준수술방법.[결론]란미선암술전진단비상곤난,준학진단주요의뢰술중혹술후적병리검사.Ⅰ기종류가선택단순란미절제술,단대우고분기적종류,우반결장근치술위상규추천적치료방식.
[Objective]To study the clinical features,diagnosis and treatment of primary appendix adenocarcinoma.[Methods]The clinical datas of 11 patients with primary appendix adenocarcinoma treated in our hospital from July 1990 to July 2010 were retrospectively analyzed.[Results]Primary appendix adenocarcinoma was a rare malignancy of the gastrointestinal tract.The clinical presention was usually non-specific.The median age at the time of presentation was 61 (39-84)years old,male vs.female was 4 vs.7.Operations were performed in all patients,preoperative abdominal CT examination was benefical to the diagnosis.Right hemicolectomy was standard operation method.[Conclusions]It is difficult to diagnose primary appendix adenocarcinoma preoperatively,the correct diagnosis relied on pathological examination during or after operation.Tumors in stage I may be treated with appendectomy alone,right hemicolectomy(RH) is still the most commonly recommended surgical option for tumors in higher stages.
