论文部分内容阅读
探讨腹膜假性粘液瘤的诊断及治疗方法，并回顾有关文献。对北京协和医院１９８３～１９９８年收治并确诊 的１７例腹膜假性粘液瘤病例进行回顾性分析研究。结果：１７例患者中，男性１例，女性１６例。年龄２０～７１岁， 平均５２岁。１７例患者中，１４例伴卵巢粘液性囊腺瘤，其中４例合并阑尾粘液囊肿。１７例患者中包括１例卵 巢浆液性囊腺瘤，１例卵巢粘液腺癌，１例男性阑尾粘液囊肿。所有病人均经手术治疗１～６次，平均每人２．５次。 ２次手术间隔７个月～７年４个月，平均３．６年。术后１年内死亡３例。结论：尽管腹膜假性粘液瘤被认为是一 种分化较好的低度恶性或交界性肿瘤，但复发是极常见的现象，远处转移几乎不存在。其来源最多见于卵巢 和阑尾。外科手术切除仍是目前最有效的治疗手段。
Explore the diagnosis and treatment of peritoneal pseudomyxoma, and review the literature. A retrospective analysis of 17 cases of peritoneal pseudomyxoma admitted and diagnosed in the Peking Union Medical College Hospital from 1983 to 1998 was conducted. Results: Among the 17 patients, there were 1 male and 16 female. Age from 20 to 71 years old, average 52 years old. Of the 17 patients, 14 were associated with ovarian mucinous cystadenoma, and 4 of them were associated with appendicular mucocele. Among the 17 patients, 1 case contained ovarian serous cystadenoma, 1 case of ovarian mucinous adenocarcinoma, and 1 case of male appendicular mucinous cyst. All patients were treated 1 to 6 times with an average of 2.5 times per person. The interval between two operations was 7 months to 7 years and 4 months, with an average of 3.6 years. Three patients died within 1 year after surgery. Conclusion: Although peritoneal pseudomyxoma is considered to be a well-differentiated low-grade or borderline tumor, recurrence is a very common phenomenon and distant metastasis is almost non-existent. The source of the most seen in the ovary and appendix. Surgical resection is still the most effective treatment.