지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.6
- 수록면
- 429 - 435 (7page)
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초록· 키워드
오류제보하기
Purpose: A mucocele of the appendix is an uncommon pathology, representing 0.2% to 0.3% of all appendix specimens. It is often diagnosed clinically as a result of its ability to cause signs and symptoms similar to those of acute appendicitis. If it is asymptomatic, it is often detected as an incidental finding during ultrasonography, computed tomography, radiographic examination of the gastrointestinal tract, or laparotomy. The purpose of this study was to identify the clinical features of mucocele of the appendix.
Methods: We describe 35 cases of mucocele of the appendix diagnosed at Uijeongbu St. Mary’s hospital between January 1993 and December 2006. We analyzed demographic, clinical, and pathologic data of all the cases.
Results: A total of 12 males and 13 females with mean age of 54.7±14.9 years are described. The peak incidence occurred in the seventh decade (34.3%). Sixteen patients presented with symptoms and signs similar to those found in acute appendicitis. Ten patients complained of a palpable mass, 2 patients complained of non-specific abdominal pain, and 7 patients were asymptomatic. Fourteen cases were diagnosed preoperatively, and 3 cases were discovered incidentally. Pathologic examination revealed mucosal hyperplasia in 20% of the cases, cystadenoma in 71%, and cystadenocarcinoma in 9%. The mean age of cystadenocarcinoma patients was older than the mean age of mucosal hyperplasia patients, and the diameter of the appendix was larger in cystadenoma patients than in mucosal hyperplasia patients.
Conclusion: The preoperative diagnosis of appendiceal mucocele is very important to make in order to facilitate treatment planning and avoid inadvertent rupture of the mucocele during operation. We recommend more diagnostic studies in cases of suspected mucocele. Mucocele of the appendix must be included in the differential diagnosis of patients with pain in the right iliac fossa, patients older than 40 years of age, patients suffering from long-term symptoms, and patient with a palpable mass in the right iliac fossa.
Methods: We describe 35 cases of mucocele of the appendix diagnosed at Uijeongbu St. Mary’s hospital between January 1993 and December 2006. We analyzed demographic, clinical, and pathologic data of all the cases.
Results: A total of 12 males and 13 females with mean age of 54.7±14.9 years are described. The peak incidence occurred in the seventh decade (34.3%). Sixteen patients presented with symptoms and signs similar to those found in acute appendicitis. Ten patients complained of a palpable mass, 2 patients complained of non-specific abdominal pain, and 7 patients were asymptomatic. Fourteen cases were diagnosed preoperatively, and 3 cases were discovered incidentally. Pathologic examination revealed mucosal hyperplasia in 20% of the cases, cystadenoma in 71%, and cystadenocarcinoma in 9%. The mean age of cystadenocarcinoma patients was older than the mean age of mucosal hyperplasia patients, and the diameter of the appendix was larger in cystadenoma patients than in mucosal hyperplasia patients.
Conclusion: The preoperative diagnosis of appendiceal mucocele is very important to make in order to facilitate treatment planning and avoid inadvertent rupture of the mucocele during operation. We recommend more diagnostic studies in cases of suspected mucocele. Mucocele of the appendix must be included in the differential diagnosis of patients with pain in the right iliac fossa, patients older than 40 years of age, patients suffering from long-term symptoms, and patient with a palpable mass in the right iliac fossa.
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REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Higa E / 1973 / Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix. A re-evaluation of appendiceal “mucocele” / Cancer 32 : 1525 ~ 1541
2. [학술지(정기간행물)] - Takahashi S / 1998 / Case report: Mucocele of the tip of the appendix / Clin Radiol 53 : 149 ~ 150
3. [학술지(정기간행물)] - Minni F / 2001 / Giant mucocele of the appendix: report of a case / Dis Colon Rectum 44 : 1034 ~ 1036
4. [학술지(정기간행물)] - Ruiz-Tovar J / 2007 / Mucocele of the appendix / World J Surg 31 : 542 ~ 548
5. [학술지(정기간행물)] - 백봉력 / 2005 / 대장내시경 소견을 중심으로 고찰한 충수돌기 점액낭종 / Clinical Endoscopy 30 (5) : 243 ~ 248
2. [학술지(정기간행물)] - Takahashi S / 1998 / Case report: Mucocele of the tip of the appendix / Clin Radiol 53 : 149 ~ 150
3. [학술지(정기간행물)] - Minni F / 2001 / Giant mucocele of the appendix: report of a case / Dis Colon Rectum 44 : 1034 ~ 1036
4. [학술지(정기간행물)] - Ruiz-Tovar J / 2007 / Mucocele of the appendix / World J Surg 31 : 542 ~ 548
5. [학술지(정기간행물)] - 백봉력 / 2005 / 대장내시경 소견을 중심으로 고찰한 충수돌기 점액낭종 / Clinical Endoscopy 30 (5) : 243 ~ 248
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UCI(KEPA) : I410-ECN-0101-2013-514-002691243