中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
20期
2758-2759
,共2页
阑尾肿瘤%类癌%诊断%治疗
闌尾腫瘤%類癌%診斷%治療
란미종류%유암%진단%치료
Appendix tumor%Carcinoid%Diagnosis%Treatment
目的 探讨阑尾类癌的临床治疗经验。方法 对12例阑尾类癌患者的病例资料进行回顾性分析。结果 12例患者术前均误诊为阑尾炎，行阑尾切除术后经病理确诊为阑尾类癌。其中，9例肿瘤直径小于1 cm，2例肿瘤直径1～2 cm，且肿瘤未侵出浆膜、不伴淋巴结转移者，采用单纯阑尾切除术，均生存5年以上；1例肿瘤直径大于2 cm并侵出浆膜，采用有半结肠切除。结论 阑尾类癌无特异性症状，多在阑尾切除术后发现，应根据肿瘤大小、浸润深度及有无转移确定手术方式。
目的 探討闌尾類癌的臨床治療經驗。方法 對12例闌尾類癌患者的病例資料進行迴顧性分析。結果 12例患者術前均誤診為闌尾炎，行闌尾切除術後經病理確診為闌尾類癌。其中，9例腫瘤直徑小于1 cm，2例腫瘤直徑1～2 cm，且腫瘤未侵齣漿膜、不伴淋巴結轉移者，採用單純闌尾切除術，均生存5年以上；1例腫瘤直徑大于2 cm併侵齣漿膜，採用有半結腸切除。結論 闌尾類癌無特異性癥狀，多在闌尾切除術後髮現，應根據腫瘤大小、浸潤深度及有無轉移確定手術方式。
목적 탐토란미유암적림상치료경험。방법 대12례란미유암환자적병례자료진행회고성분석。결과 12례환자술전균오진위란미염，행란미절제술후경병리학진위란미유암。기중，9례종류직경소우1 cm，2례종류직경1～2 cm，차종류미침출장막、불반림파결전이자，채용단순란미절제술，균생존5년이상；1례종류직경대우2 cm병침출장막，채용유반결장절제。결론 란미유암무특이성증상，다재란미절제술후발현，응근거종류대소、침윤심도급유무전이학정수술방식。
Objective To explore the experience of surgical treatment for appendiceal carcinoid.Methods The clinical data of 12 appendiceal carcinoid cases received surgery were retrospectively studied.Results Preoperatively,all the 12 cases were considered as appendicitis.The definite diagnosis was verified by pathologic study postoperatively.Among the 12 cases, tumors less than 1 cm 9 cases, between 1 cm to 2cm 2cases, but without serosal involvment or lymph node metastasis(2 cases) recieved simple appendectomy.One case with a tumor larger than 2cm and serosal involvment underwent fight hemicolectomy.Conclusion Owing to its lack of specific symptoms,the diagnosis of appendiceal carcinoid was usually reached after operation.The choice of surgical procedures should based on the size and depth of invasion of the tumor and lymph node metastasis status.
