胰腺癌141例临床分析

CLINICAL ANALYSIS OF 141 CASES WITH PANCREATIC CANCER

本文收集分析1977～1986年间收治的141例胰腺癌临床资料。男96例,女45例。年龄28～83岁(平均56岁),胰头癌8 3例,体尾癌39例,全胰癌19例。114例经手术和/或病理证实,其中89例手术记录完整。肿瘤最大直径<5cm者20例(22.5％)。其中2例<2cm(小胰癌),这提示早期诊断是有可能的。最常见的初发症状为腹痛(63例)和黄疸(37例),余者为腹胀,厌食,消瘦,腹块和发热,2例小胰癌为无痛性黄疸。影像检查的阳性率:B超,ERCP和PTC均>90％,选择性动脉造影85％,CT82％,上消化道钡餐检查仅69％,但2例小胰癌都是由GI发现的。

One hundred forty-one cases of pancreatic cancer treated in 1977-1986 are analysed. Ninety-six patients were males and 45 females, aged 29-83 (average 56). The cancers were located at the head of the pancreas in 83 cases, body and tail in 39 and whole pancreas in 19. One hundred fourteen cases were confirmed by operation and/or pathology. Cancers with <5cm in diameter were found in 20 cases (22.5%), 2 of them were <2cm (small cancer). This suggests that early diagnosis is possible. The commonest initial symptoms were abdominal pain (63 cases) and jaundice (37), others were abdominal distension, anorexia, emaciation, abdominal mass and fever. Two patients with small cancer had only jaundice but no pain. The positive rate in discovering the cancer was more than 90% for ultrasonography, ERCP and PTC, 85% for selective angiography, 80% for CT and only 69% for GI X-ray, but the 2 small cancers were discovered by GI X-ray.