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目的 :探讨原发性阑尾肿瘤的临床特点及治疗。方法 :回顾性分析我院 1 985年 1月～2 0 0 0年 3月的 1 2例原发性阑尾肿瘤的临床资料。结果 :1 2例中良性肿瘤 6例 (阑尾管状腺瘤 1例、粘液性囊腺瘤 5例 ) ,恶性肿瘤 6例 (阑尾类癌 4例、粘液性囊腺癌 2例 ) ,均行手术切除。 1例典型类癌患者于住院期间死亡 ,随访其它患者 ,未见肿瘤转移和复发。结论 :阑尾肿瘤少见且临床诊断困难。大部分原发性阑尾肿瘤行单纯阑尾切除术即可 ,阑尾腺癌、腺类癌及Φ >2cm的典型类癌 ,应考虑右半结肠切除术。对于Φ =1cm～ 2cm的类癌 ,其手术方式仍有争议
Objective: To investigate the clinical features and treatment of primary appendicitis. Methods: The clinical data of 12 patients with primary appendicitis in our hospital from January 1985 to March 2000 were retrospectively analyzed. Results: There were 6 benign tumors (1 appendiculatus adenoma, 5 mucinous cystadenomas), 6 malignant tumors (4 appendicitis and 2 mucinous cystadenocarcinoma) in 12 cases. All patients underwent surgery resection. One case of typical carcinoid patients died during hospitalization, follow-up of other patients, no tumor metastasis and recurrence. Conclusion: Appendectomy is rare and clinical diagnosis is difficult. Most of the primary appendectomy can be simple appendectomy, appendectomy, adenocarcinoma and typical carcinoid Φ> 2cm, should consider the right half of the colon resection. For Φ = 1cm ~ 2cm carcinoid, the surgical approach is still controversial