Clinical analysis for diagnosis and treatment of 11 cases of primary adenocarcinoma in appendix

Abstract

[Objective]To study the clinical features,diagnosis and treatment of primary appendix adenocarcinoma.[Methods]The clinical datas of 11 patients with primary appendix adenocarcinoma treated in our hospital from July 1990 to July 2010 were retrospectively analyzed.[Results]Primary appendix adenocarcinoma was a rare malignancy of the gastrointestinal tract.The clinical presention was usually non-specific.The median age at the time of presentation was 61 (39-84)years old,male vs.female was 4 vs.7.Operations were performed in all patients,preoperative abdominal CT examination was benefical to the diagnosis.Right hemicolectomy was standard operation method.[Conclusions]It is difficult to diagnose primary appendix adenocarcinoma preoperatively,the correct diagnosis relied on pathological examination during or after operation.Tumors in stage I may be treated with appendectomy alone,right hemicolectomy(RH) is still the most commonly recommended surgical option for tumors in higher stages. Key words: Primary adenocarcinoma of appendix ; Diagnosis ; Treatment ;