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KMID : 0356719960120020205
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Journal of the Korean Society of Coloproctology
1996 Volume.12 No. 2 p.205 ~ p.212
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Review of the Pathologic Diagnoses of 1994 Appendectomy Specimens and Clinical Analysis of Acute Appendicitis, Appendiceal Tumor and Cecal Tumor Presented as Appendicitis
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Lee Tae-Joo
Woo Jae-Hong
Yoon Seo-Koo
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Abstract
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A retrospective study of the histopathological findings of 1,994 appendices specimen over 10 years was performed. In 79% of cases, histologic acute appendicitis was found; 30% of these patients were perforated appendicitis. The rate of normal appendectomy was 17%, and females comprised 63% of that group. The remaining 50 cases(2.5%) were designated as the alternate diagnosis group. These included granulomatous inflammatory lesion, 6 cases(0.3%), parasites infestation, 15 cases(0.7%), appendiceal tumor, 29 cases(1.4%). We analized age, sex ratio, typical symptom, duration of symptom, and leukocytosis of 100 cases of patients with typical appendicitis by random sampling to find out what clinical differences are there between appendiceal tumor(n=29), cecal tumor presented as appendicitis(n=6) and acute appendicitis. The mean age of acute appendicitis was 33.0, appendiceal tumor was 48.1 and cecal tumor presenting as appendicitis was 61.1. The
mean period of symptom developed of these patients were 2.64, 4.15 and 5.83 days. The appendiceal tumor and cecal tumor presenting as appendicitis compared to appendicitis, these were developed in more older age(p<0.005) and had more longer period of symptom(p<0.001) and those were statiscally significant. But sex ratio, leukocytosis,
fever and present of typical symptom of appendicitis were not different in statistically. In case of the duration of the symptoms longer or the age older than the average, there is a chance for the patient group who have the symptoms of the appendicitis clinically to have the tumor in the cecum or the appendix. We concluded that those patient should have the more detailed preoperative or intraoperative examinations and pathologic confirmation.
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KEYWORD
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Appendiceal Neoplasms, Appendicitis, Cecal Neoplasms
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