胰腺癌的临床特点及早期诊断探讨

The Clinical Manifestations and Research for Early Diagnosis of Pancreatic Cancer

报道经病理确诊的胰腺癌116例。临床分析示腹痛和（或）黄疸是最常见的首发症状，目前常用的生化检验和影像检查对胰腺癌的早期诊断仍较困难。提出中、老年患者出现不明原因的一般消化道症状、持续性黄疸、突然发生既非肥胖又无家族史的胰腺炎和糖尿病、γ-GT持续升高，应首选B超及CA19－9检查，以期早期诊断和治疗胰腺癌。

116 cases of pancreatic cancer proved by histopathology were studied retrospectively. Abdominal pain or/and jaundice wer the inihal symptom most commonly. It is still a difficult problem for routine biochemical tests and imageological examinations to diagnose early pancreatic cacer. We suggust thaa B - ultrasonograph and CA19 - 9 might regard as an examinations of first choice for those middle - aged and old persons whanever they have grneral digestive traet symptom of unknown cause, persistent jaundice, sudden attack of pancreatitis and diabetes mellitus with non - obese and non - family history, persistent elevation of γ - GT. If we do as stated above,the early diagnosis and therapy may be improved.