【摘要】 目的 :探讨原发性阑尾肿瘤的临床特点及治疗。方法 :回顾性分析我院 1 985年 1月～2 0 0 0年 3月的 1 2例原发性阑尾肿瘤的临床资料。结果 :1 2例中良性肿瘤 6例 (阑尾管状腺瘤 1例、粘液性囊腺瘤 5例 ) ,恶性肿瘤 6例 (阑尾类癌 4例、粘液性囊腺癌 2例 ) ,均行手术切除。 1例典型类癌患者于住院期间死亡 ,随访其它患者 ,未见肿瘤转移和复发。结论 :阑尾肿瘤少见且临床诊断困难。大部分原发性阑尾肿瘤行单纯阑尾切除术即可 ,阑尾腺癌、腺类癌及Φ >2cm的典型类癌 ,应考虑右半结肠切除术。对于Φ =1cm～ 2cm的类癌 ,其手术方式仍有争议更多还原

【Abstract】 Objective:To study the clinical characteristics and treatment of primary appendiceal tumor.Methods:Results of 12 patients with primary appendiceal tumor treated in the hospital from Jan.1985 to Mar.2000 were analyzed.Results:There were 6 cases with benign tumors(appendiceal tubular adenoma 1 case,mucinous cystadenomas 5 cases) and 6 with malignant tumors(appdediceal carcinoid 4 cases,mucinous cystadenocarcinoma 2 cases).All of them were treated with surgical resection.One patient with carcinoid died of multiple metastasis during hospitalization.Other patients have been followed up without any recurrence or metastasis.Conclusion:Appendiceal tumors are uncommon and difficult to be diagnosed.Most of them can be managed by appendectomy.However,right hemicolectomy should be undertaken when adenocarcinoma,adenocoid and carcinoid larger than 2 cm were discovered.Controversy still exists on the management of carcinoid 1 to 2 cm in size.更多还原