64例成人阑尾类癌的诊断与外科治疗
杨维良;闫朝岐;王夫景;王惠良
【期刊名称】《中华肿瘤杂志》 【年(卷),期】2008(030)007
【摘要】目的 总结阑尾类癌(CTA)的诊断和外科治疗经验.方法 回顾性分析1972年至2006年收治的64例CTA患者的临床资料.结果 64例患者术前仪有6例(9.4%)确诊,58例(90.6%)为术中发现或术后病理确诊,术前误诊率高达90.6%.CTA主要采取手术治疗,术式的选择取决于手术者对CTA良、恶性的判断,以及类癌病灶大小、部位、侵袭深度、周围淋巴结转移情况和年龄等因素.64例患者中,采用单纯阑尾切除术54例,回盲部切除术4例,右半结肠切除术2例,右半结肠切除并清除区域淋巴结4例.随访58例,其中57例存活13年,1例术后13年凶肝脏转移死亡.结论 CTA少见,术前误诊率高,手术切除是CTA惟一有效的治疗方法,合理的术式选择是手术成功和提高患者生存率的关键.%Objective To summarize the experience in the diagnosis and surgical treatment of carcinoid tumors of the appendix. Methods From 1972 to 2006, 64 patients with carcinoid tumors of the appendix received surgical treatment in our hospitals. The clinical data of those patients were retrospectively analyzed. Results Of the 64 cases, only 6 cases (9.4%) were correctly diagnosed preoperatively, while 58 (90.6%) not confirmed, with a misdiagnosis rate of 90.6%. All patients underwent
surgical
treatment,including
appendectomy
in
54,
ileocecectomy in 4, right hemicolectomy in 2 and right hemicolectomy
64例成人阑尾类癌的诊断与外科治疗
