摘要
近年来随着预期寿命的延长，老年肿瘤患者人数逐年升高，妇科恶性肿瘤中子宫内膜癌多发生在65-75岁人群。阑尾黏液性肿瘤在临床上十分少见，发病率非常低。阑尾黏液性肿瘤侵犯卵巢的倾向已得到证实，子宫内膜癌与低级别阑尾黏液性肿瘤罕见共存的病例在国内报道中目前并未见到。手术是治疗阑尾肿瘤的其中一种策略，子宫内膜癌根据病理诊断结果需要根治性切除手术。不幸的是根治性切除手术通常伴随着严重的不良后果，包括并发症，住院时间延长，术后恢复慢，甚至死亡。年龄增加对围手术期不良结局是独立危险因素，进一步增加了术后并发症的风险，这样的高危人群需要一种适应其特殊需求的创新方法。本病例通过为患者提供个性化的护理，再加入老年综合评估（CGA）指导的干预措施，使患者在复杂的治疗过程中得到全面连续的护理，从而提高患者的护理质量，促进术后恢复。
关键词： 子宫内膜癌：低级别阑尾黏液性肿瘤；老年综合评估；个案护理
Abstract
In recent years, with the extension of life expectancy, the number of elderly cancer patients has been increasing year by year. Among gynecological malignancies, endometrial cancer mostly occurs in the population aged 65-75. Appendiceal mucinous tumors are very rare in clinical practice and have a very low incidence. It has been confirmed that appendiceal mucinous tumors tend to invade the ovary. Cases of rare coexistence of endometrial cancer and low-grade appendiceal mucinous tumors have not been reported in domestic literature. Surgery is one of the strategies for treating appendiceal tumors. For endometrial cancer, based on the pathological diagnosis results, radical resection surgery is required. Unfortunately, radical resection surgery is usually accompanied by serious adverse consequences, including complications, prolonged hospital stay, slow postoperative recovery, and even death. The increase in age is an independent risk factor for adverse outcomes during the perioperative period, further increasing the risk of postoperative complications. Such high-risk patients need an innovative method that adapts to their special needs. In this case, through providing personalized care for the patient and adding intervention measures guided by comprehensive geriatric assessment (CGA), the patient received comprehensive and continuous care during the complex treatment process, thereby improving the quality of care and promoting postoperative recovery.
Key words： Endometrial cancer; Low-grade appendiceal mucinous tumor; Comprehensive geriatric assessment; Case nursing
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