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报告阑尾类癌10例,占同期阑尾切除的0.43%。结合有关文献就阑尾类癌的临床表现、病理特点、诊治原则等进行了探讨。发现该病多以阑尾类病史表现,术中或术后经病理证实。术后随访11个月~9年,除1例行单纯阑尾切除者术后2年复发外,其余9例未见复发和转移,且均健在。本文强调阑尾切除术及其它腹盆腔手术中应有阑尾类癌的概念,若术中高度怀疑,应常规行冰冻切片检查,以提高阑尾类癌的检出率,防止漏诊而延误治疗。
Reported 10 cases of appendix carcinoid, accounting for 0.43% of appendectomy in the same period. The clinical manifestations, pathological features, principles of diagnosis and treatment of appendiceal carcinoids were discussed in conjunction with relevant literature. The disease was found to have a history of appendix-like illness and was confirmed by pathology during or after surgery. During the follow-up period of 11 months to 9 years, except for one case of simple appendectomy that recurred at 2 years after operation, the remaining 9 patients had no recurrence or metastasis and were all healthy. This article emphasizes the concept of appendix carcinoid in appendectomy and other abdominal pelvic surgery. If there is a high degree of suspicion in the operation, routine frozen section examination should be performed to increase the detection rate of appendiceal carcinoid and prevent missed diagnosis and delay treatment.