腹腔巨大肿物——粘液性肿瘤一例

A Case of a Huge Abdominal Mass-Mucinous Tumor

摘要: 粘液性肿瘤多起源于卵巢上皮性肿瘤，生长迅速，因囊肿内较多分泌粘液的上皮，上皮细胞胞浆内含有粘液，此类上皮细胞在宫颈内膜及胃、小肠等消化器官内多见，现报道1例腹腔巨大肿物——粘液性肿瘤(消化系统来源)手术切除，术后病检符合低级别粘液性肿瘤，其来源为消化系统。术后进行三次热灌注化疗，恢复良好，随访复查。通过临床案例报道以探讨粘液性肿瘤的疾病特点及临床诊疗及相关文献复习来提高对此病的认识。

Abstract: Mucinous tumors are mostly originated from ovarian epithelial tumors, growing rapidly, because of more mucus-secreting epithelium in the cysts, and mucus is contained in the epithelial cell envelope, which is common in the endocervical lining and digestive organs such as the stomach and the small intestine, etc. Clinical reports of appendiceal-originated and ovary-originated mucinous tumors are more frequent, and a small number of clinical cases have been reported in the pancreatic ducts papillary mucinous tumors as well as bile ducts. Papillary mucinous tumor in the pancreatic duct and bile duct have been reported in a few clinical cases. We report a case of a large abdominal mass—mucinous tumor (of digestive origin) that was surgically resected, and the postoperative pathology was consistent with a low-grade mucinous tumor, which was of digestive origin. Three times of heat infusion chemotherapy was performed postoperatively with good recovery and follow-up review. A special clinical case report is presented to discuss the disease characteristics and clinical diagnosis and treatment of mucinous tumors and to review the relevant literature to improve the understanding of this disease.