低级别阑尾黏液性肿瘤误诊为急性阑尾炎一例

俊德 邓, 永泉 仵, 满棠 卢, 世清 朱, 艳庆 邓

摘要


目的：提高临床医师对阑尾黏液性肿瘤的认识。方法：研究近期我院 1 例入院诊断“急性阑尾炎”，术后病理示阑尾黏液性肿瘤的临床资料，包括入院检查、诊治经过以及术后病理回报报告。结果：该例患者夜间急诊行腹腔镜下阑尾切除术，术后病理诊断为（回盲部）阑尾管腔充满黏液并扩张，壁层纤维化部分区域被黏液推挤变薄，内壁衬覆绒毛状胞质富含黏液的假复层上皮并轻度非典型性，部分区域上皮黏液较少，细胞核增大，但未见明确核分裂及坏死。病理诊断 :经全部取材倾向低级别阑尾黏液性肿瘤 , 切缘（+）。结论：阑尾黏液性肿瘤发病罕见，临床症状不典型，极易误诊为急性阑尾炎。主要依靠术中快速冰冻切片及术后病理检查确诊，明确肿物性质后再选择具体术式及进一步治疗。

关键词


阑尾肿瘤；黏液性；急性阑尾炎；病例报告

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参考


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DOI: https://doi.org/10.12346/pmr.v3i2.3426

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