摘要
目的 探讨原发性阑尾恶性肿瘤的临床病理特点、外科治疗策略及预后.方法 回顾性分析天津市肿瘤医院1982年1月至2012年12月30年间收治的74例经手术治疗的原发性阑尾恶性肿瘤的临床病理资料.结果 本组74例原发性阑尾恶性肿瘤中以类癌最常见,占70％（52例）,腺癌占22％（16例）,淋巴瘤占8％（6例）.原发性阑尾恶性肿瘤临床发现病期较晚,预后较差,总的术后1、3、5年生存率分别为95％、74％、60％.其中类癌预后最好,腺癌预后最差.只有进行根治性切除,患者才能有好的预后.结论 原发性阑尾恶性肿瘤术前诊断困难,主要依靠术中快速冰冻切片和术后病理确诊.对阑尾恶性肿瘤患者应积极行根治性手术治疗.
Objective To investigate the clinical and pathological characteristics,surgical treatment strategy and prognosis of primary malignant neoplasms of the appendix.Methods The clinical data of 74 patients with primary malignant neoplasms of the appendix in our hospital from January 1982 to December 2012 were retrospectively studied.Results Among the 74 cases of primary malignant neoplasms of the appendix,carcinoids were the most common accounting for approximately 70%,adenocarcinoma accounting for 22% and lymphoma accounting for 8%.The prognosis of primary malignant neoplasms of the appendix is rather poor,nainly because of patients＇ later presentetion.The overall 1,3,5-year survival rate is respectively 95%,74%,60%,the prognosis of carcinoid is good,while that of adenocarcinoma is poor.Conclusions The incidence of primary malignant neoplasms of the appendix is relatively low.It is difficult to diagnose preoperatively,and the diagnosis relies mainly on rapid intraoperative frozen section and postoperative pathology.
出处
《中华普通外科杂志》
CSCD
北大核心
2013年第10期755-757,共3页
Chinese Journal of General Surgery
关键词
阑尾肿瘤
阑尾切除术
预后
Appendiceal neoplasms
Appendectomy
Prognosis
