胰体尾癌(附112例报告)

EXPERIENCE OF THE DIAGNOSIS AND TREATMENT IN 112 PATIENTS WITH CARCINOMA OF THE BODY AND TAIL OF THE PANCREAS

本文报告112例胰体尾癌，均控BUS、CT、ERCP以及剖腹探查术确诊。胰体尾癌出现症状王确诊时间3～4个月，其中111例田延误早期诊断而发展为进展期癌，仅1例为早期胰体尾癌。作者认为凡有上腹痛、腰背痛及食欲不振症状者，应警惕早期胰癌的存在。应用BUS、CT、ERCP进一步检查，必要时行细针穿刺细胞学检查及剖腹探查术均可确诊。本组105例不能切除，仅7例能切除，切除率极低，但早期诊断，力争早期根治性切除胰体尾癌，效果是理想的。

One handred and twelve patients with carcinoma of the body and tail of pancreas were reported, which had been demonstrated by BUS, CT, ERCP and laparotomy. The intervel time from the appearence of the symptoms to make the diagnosis was about 3-4 months. In 112 patients, 111 of them were in the end-stage and only one was in early-stage. The authors think that physician should pay more attention to the symptoms of early-stage of pancreatic cancer, if the patient presents with epigastric pain, back pain and poor appetite, the examination of BUS, CT and ERCP should be done. If it is necessary, biopsy of the pancreatic mass by fine neddle and laparotomy should be done, it may be helpful to the diagnosis. In this group, only 7 cancers could be removed. But if the patients can be diagnosed in the early-stage and operated as early as possible, the effect of treatment may be better.