临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (2): 65-.

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阑尾黏液性囊腺瘤临床诊治分析

  

  1. 1. 中部战区空军医院 普通外科,山西 大同 037047;2. 中部战区空军医院 消化内科,山西 大同 037047
  • 出版日期:2022-04-01 发布日期:2022-07-18

Clinical diagnosis and treatment analysis of appendix mucinous cystadenoma

  1. 1. General Surgery Department of Central Theater Command Air Force Hospital, Shanxi Datong 037047, China; 2. Department of Central Theater Command Air Force Hospital, Shanxi Datong 037047, China
  • Online:2022-04-01 Published:2022-07-18

摘要:

目的 提高对阑尾黏液性囊腺瘤的认知及临床诊治水平。方法 回顾性分析中部战区空军医院2005 年2 月至2020 年6 月收治的被误诊的17 例阑尾黏液性囊腺瘤的临床资料,包括临床表现及治疗情况,总结阑尾黏液性囊腺瘤的诊治特征。结果 17 例患者临床表现无特异性。5 例患者被误诊为卵巢囊肿;7 例误诊为阑尾脓肿;3 例误诊为回盲部肿瘤;1 例误诊为腹腔结核;1 例患者被误诊为右侧输尿管肿瘤。17 例患者均接受手术治疗,术后病理证实为阑尾黏液性囊腺瘤。随访14 例,随访时间10 个月至12 年,复发2例,其中1 例死亡。结论 阑尾黏液性囊腺瘤无特征性临床表现,误诊率高,延迟诊治可出现严重的后果。早期诊断及正确的手术方式是该病治疗的关键。

关键词: 肿瘤, 阑尾黏液性囊腺瘤, 误诊

Abstract:

Objective Improve the cognition and clinical diagnosis and treatment level of appendix mucinous cystadenoma. Method Clinical data of 17 misdiagnosed appendix mucinous cystadenoma from February 2005 to June 2020 in Central Theater Command Air Force Hospital were retrospectively analyzed, including clinical manifestations and treatment, the diagnosis and treatment of mucinous cystadenoma of appendix were summarized. Result Not clinically specific in 17 patients.5 cases were misdiagnosed as ovarian cysts;7 cases were misdiagnosed as appendix abscess;3 cases were misdiagnosed as ileocecal tumor;1 case was misdiagnosed as abdominal tuberculosis;1 case was misdiagnosed as a right ureteral tumor. All of the 17 cases were treated surgically, postoperative pathology was confirmed as appendix mucinous cystadenoma.14 cases were followed up for10

months to 12 years. Recurrence and metastasis were found in 2 cases, and one of them died. Conclusion Appendix mucinous cystadenoma has no characteristic clinical manifestations, the misdiagnosis rate is high, Delaying the diagnosis and treatment can have serious consequences. Early diagnosis and the correct surgical method are the key to the treatment of the disease.

Key words: Tumour, Appendix mucinous cystadenoma, Misdiagnose