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回盲部恶性肿瘤误诊为阑尾炎或阑尾脓肿已有过报道,并各自阐述误诊原因。但在临床上仍屡屡误诊是什么原因?近两年来我院收治了8例回盲部恶性肿瘤病人,其中恶淋2例,腺癌5例,粘液腺癌1例。门诊均以急性阑尾炎或阑尾脓肿收入院,术中才发现回盲部肿瘤。术后病理检查才明确诊断:①回盲部恶性肿瘤;②急性阑尾炎及急性早期阑尾炎两种诊断共存。其中1例切除阑尾术后8个月右下腹疼痛,无明显缓解,再此行剖腹探查才发现回盲部肿瘤,虽病例较少,提醒注意回盲部恶性肿瘤与阑尾炎并存的可能性。
Misdiagnosis of ileocecal malignancy as appendicitis or appendicular abscess has been reported and the reasons for misdiagnosis have been described separately. But what are the reasons for the frequent clinical misdiagnosis? In the past two years, 8 cases of malignant tumors in the ileocecal department have been treated in our hospital. Among them, 2 cases of leukemia, 5 cases of adenocarcinoma, and 1 case of mucinous adenocarcinoma. Outpatients were admitted to the hospital with acute appendicitis or appendiceal abscess and only ileocecal tumors were found during surgery. Postoperative pathological examination before a clear diagnosis: 1 blister malignant tumor; 2 acute appendicitis and acute early appendicitis two kinds of diagnosis coexist. Among them, 1 patient had resection of appendix pain for 8 months after surgery, and no obvious relief was found. Only after the exploratory laparotomy did he find the ileocecal tumor. Although there were few cases, he reminded the possibility that the ileocecal malignant tumor coexisted with appendicitis.