阑尾粘液瘤的非典型表现

P. S. Raghuram, MD.M.M. Noor Mohiddin
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引用次数: 0

摘要

导言:阑尾粘液瘤是指阑尾腔内积聚粘液物质而导致的阑尾阻塞性扩张。它仅占阑尾病变的 0.3%-0.7%,占阑尾肿瘤的 8%。患者的临床症状包括右下腹疼痛、可触及腹部肿块、恶心、呕吐、体重减轻、消化道出血和肠套叠征象。如果治疗不当,粘液瘤可能会发展,上皮细胞可能会逃逸到腹腔,可能会发展为假性腹膜肌瘤,死亡率很高。这种疾病既可能是良性的,也可能是恶性的。根据现代分类cation,可分为 4 种组织学类型:潴留囊肿、粘膜增生、粘液性囊腺瘤和粘液性囊腺癌。
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AN ATYPICAL PRESENTATION OF MUCOCELE OF APPENDIX
Introduction: Mucocele of the appendix is an obstructive dilatation of the appendix caused by intraluminal accumulation of mucoid material. It represents only 0.3%-0.7% of appendiceal pathology and 8% of appendiceal tumors. A patient's clinical symptoms include pain in the right lower quadrant of the abdomen, palpable abdominal mass, nausea, vomiting, weight loss, gastrointestinal bleeding, and signs of intussusceptions of the intestines. If treated improperly, the mucocele may progress, epithelial cells may escape into the peritoneal cavity, and Pseudomyxoma Peritonei may develop, which has a high mortality. This condition can have benign as well as malignant processes. According to modern classication, there are 4 histologic types: Retention cyst, mucosal hyperplasia, Mucinous cystadenoma, and Mucinous Cystadenocarcinoma.
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