不同部位胰腺癌的误诊分析

Analyses of Misdiagnose of Carcinomas Arising from Different part of Pancreas

目的分析不同部位胰腺肿瘤的误诊情况,提高胰腺癌诊断率,降低误诊误治率。方法回顾性分析222例胰腺癌患者的误诊原因。结果 222例中50例患者被误诊,误诊率为22.5%。发病部位不同,其误诊情况也不同,其中胰头癌140例,误诊34例(24.3%),误诊为胃炎和胰腺炎。胰体癌16例,误诊9例(56.3%),误诊为腰椎间盘突出症和贲门失迟缓症。胰尾癌41例,误诊5例(12.2%),误诊为胃炎和腰椎间盘突出症。全胰癌24例,误诊2例(8.3%),均误诊为胰腺炎。结论胰腺癌早期临床症状不典型,极易发生误诊,且不同部位误诊率及误诊情况各有不同,应该重视胰腺癌的早期临床表现,避免误诊的发生。

Objective To Analyze the misdiagnoses of pancreatic carcinoma arising from different part of the pancreas.Methods The clinical data of 222 patients diagnosed with pancreatic cancer were ana1ized retrospective1y.Results 50 patients experienced misdiagnoses,and the misdiagnosis rate was 22.5%.Of the 140 patients with pancreatic head carcinoma,34 were misdiagnosed.The main misdiagnosed diseases were gastritis and pancreatitis.Of the 16 patients whose carcinoma was situated in the pancreatic body,9 were misdiagnosed,and the main misdiagnosed diseases were cardielcosis and lumbar disc protrusion.41 patients had pancreatic tile carcinoma,and 5 were misdiagnosed as gastritis or lumbar disc protrusion.The carcinoma infiltrated to the whole pancreas in 24 patients,in which 2 patients were misdiagnosed as acute pancreatitis.Conclusion Misdiagnoses of pancreatic carcinoma are common due to their untypical symptoms in the early stage.The misdiagnosis rate is related to the part of the pancreas from which it arises.Doctors should pay attention to the clinical symptoms,and avoid misdiagnose.