Difficult diagnosis: Acute appendicitis and carcinoma of the appendix/caecum [Die schwierige Diagnose: Akute Appendicitis und das Appendix-/Coecumbodencarcinom]

被引：0

作者：

Kelm C. ^{[1
,3
]}

Ponsel O. ^{[1
]}

Benz A.-C. ^{[1
]}

Stolte M. ^{[2
]}

Henneking K. ^{[1
]}

机构：

[1] Klin. F. Allgemein-, Visc.- T., Klinikum Bayreuth

[2] Institut für Pathologie, Klinikum Bayreuth

[3] Klin. F. Allgemein-, Visc.-und T., Klinikum Bayreuth, 95447 Bayreuth

来源：

Der Chirurg | 2001年 / 72卷 / 4期

关键词：

Appendicitis; Appendix carcinoma; Hemicolectomy;

D O I：

10.1007/s001040051329

中图分类号：

学科分类号：

摘要：

Introduction: Primary carcinoma of the appendix vermiformis/caecum is very rare. The diagnosis can often be ascertained only postoperatively by histopathological means. Preoperative diagnosis is unusual. Method and results: We report on five patients with an adenocarcinoma of the appendix/base of caecom, all operated on between July 1998 and October 1999. Conclusion: A hemicolectomy "en principe" is not necessary. However, ileocaecal resection should have been performed during the first operation and there should be no positive lymph nodes. Postoperative diagnosis of a carcinoma after simple appendectomy necessitates Reoperation with right hemicolectomy.

引用

页码：444 / 447

页数：3