摘要
目的:分析阑尾腺癌的临床特征及治疗方法.方法:回顾分析1958年3月以来所有阑尾肿瘤中的12例腺癌患者的临床特征、治疗方法及预后.结果:阑尾腺癌发病率较低,发病年龄为19～68岁,中位年龄56岁;男:女为4:8.所有患者均行手术治疗,术后6例化疗.从资料观察至肿瘤进展期最长为22个月.结论:原发阑尾腺癌发病率低,术前准确诊断非常困难,对有急性阑尾炎症状的中、老年患者要认真予以鉴别.对有浸润倾向的肠型阑尾腺癌应采用右半结肠切除术,术后辅助化疗的作用仍需研究.
Objective: To study the characteristics of primary adenocarcinoma of appendix and methodology of treatment. Methods: We retrospectively analyze the total of 12 cases of primary carcinoma of appendix of all cases of primary malignant of appendix in our hospital from March of 1958 to May of 2003 in terms of clinical characteristics, treatment and prognosis. Results: The incidence of primary adenocarcinoma of appendix is very low. The median age at the time of presentation is 56(19~68), Male vs. Female is 4 vs. 8. Operations were performed in all patients, most were appenctomy, and the remainders were right hemilcolectomy and palliative operation. Six of the patients experienced adjuvant chemotherapy, non for radiotherapy. The longest Time to Progression (TTP) is 22 months. Conclusions: Primary adenocarcinoma of the appendix is an uncommon entity. It is very difficult to diagnosis exactly, and is important to perform the differential diagnosis for middle-aged and elderly patients presenting with acute appendicitis. Right hemicolectomy should be performed for colonic type of primary adenocarcinoma of appendix, which has a tendency of metastasize. The role of adjuvant chemotherapy needs to be evaluated in future.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2004年第10期557-559,共3页
Chinese Journal of Clinical Oncology
关键词
原发阑尾腺癌
右半结肠切除术
辅助化疗
Primary adenocarcinoma of appendix Right hemicolectomy Adjuvant chemotherapy
