<総説>良性の虫垂粘液嚢胞

概要

論文の詳細を見る
The term of appendiceal mucocele indicates a macroscopic appearance of cystic enlargement of the appendix. Simple retention cyst, cystadenoma or cystadenocarcinoma is found by histologic examination in the resected specimen of the mucocele. So-called myxoglobulosis of the appendix is also a modified style of the mucocele. Pseudomyxoma peritonei is a clinical entity that mucinous ascites fills the abdominal cavity generally or locally. Although pseudomyxoma peritonei is considered to be malignant, occasional mucinous fluid collection into the abdominal cavity from the benign appendiceal mucocele without implantation or dissemination of epithelial cells should be differentiated from pseudomyxoma peritonei. Since 1909,411 cases of benign appendiceal mucocele reported in the Japanese literature including our own three cases were reviewed. In the collected cases, cystadenoma, myxoglobulosis and pseudomyxoma peritonei of simple rupture of the appendiceal mucocele were added. The ratio of male to female was 1.6 : 1,the average age was 46.0 years of the male and 51.5 years of the female. The preoperative diagnosis was difficult, only 18 patients were recognized to have appendiceal mucocele preoperatively. Most prevalent complication in that case was the bowel obstruction of intussusception or other entity. Here several characteristic problems were discussed.
近畿大学の論文
1984-12-30