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目的探讨卵巢肿瘤与邻近消化道肿瘤的临床特点及早期诊断,着重讨论阑尾肿瘤与卵巢肿瘤的鉴别诊断。方法回顾性分析我科经临床诊断为卵巢肿瘤而术中发现和术后病理证实为消化道肿瘤,包括原发阑尾肿瘤和乙状结肠肿瘤8例的临床资料。结果术前检查,包括影像学检查,肿瘤指标检查以及内镜检查均支持卵巢肿瘤诊断,术后证实为阑尾黏液腺癌7例,乙状结肠肿瘤1例,其中5例伴有卵巢转移,3例无卵巢转移。结论卵巢肿瘤与邻近消化道肿瘤尤其是原发性阑尾肿瘤的鉴别困难,术前难以明确诊断,应提高认识。术前诊断可疑者应做好术前肠道准备,对手术方式的选择及提高预后有重要作用。
Objective To investigate the clinical features and early diagnosis of ovarian tumors and adjacent digestive tumors, with emphasis on the differential diagnosis of appendix and ovarian tumors. Methods The clinical data of 8 cases diagnosed as gastrointestinal tumors, including primary appendiceal tumors and sigmoid colon tumors, which were clinically diagnosed as ovarian tumors in our department and confirmed by pathology after operation, were retrospectively analyzed. Results Preoperative examination including imaging examination, tumor index examination and endoscopy supported the diagnosis of ovarian tumors. Postoperatively, 7 cases of mucinous adenocarcinoma of the appendix and 1 of sigmoid colon tumors were found. Among them, 5 cases had ovarian metastasis and 3 cases had no metastasis Ovarian metastasis. Conclusion Ovarian tumor and adjacent digestive tract tumors, especially the primary appendix tumor identification difficult, difficult to confirm the diagnosis before surgery, should raise awareness. Suspicious diagnosis of preoperative bowel preparation should be done preoperatively, the choice of surgical methods and improve prognosis plays an important role.