胰腺癌易误诊原因分析(附101例报告)

The causes of misdiagnosis in pancreatic cancer-analysis of 101 cases

目的 分析胰腺癌易误诊原因 ,提高胰腺癌的早期诊断率。方法 回顾分析本院 1967～ 1997年 31年间10 1例胰腺癌病人的诊断和误诊情况。结果 误诊 2 4例 ,误诊率 2 3.8%。误诊的疾病分别是 :胆囊炎、胆石症 8例 ,急性胰腺炎 3例 ,胰腺囊肿 2例 ,肝炎 4例 ,肝硬化腹水 1例 ,胃癌 2例 ,胃溃疡幽门梗阻、结肠癌各 1例 ,糖尿病 2例。结论 胰腺癌本身解剖、生物学特点 ,疾病早期症状的非特异性 ,病人对早期症状的忽视 ,医生对胰腺癌警惕性不高以及目前对胰腺癌早期诊断尚缺乏特异的方法是容易误诊的主要原因。

Objective To analyse the causes of misdiagnosis in pancreatic cancer and to increase the early diagnostic rate in pancreatic cancer.Methods The clinical condition of diagnosis and misdiagnosis in pancreatic cancer of 101 cases from 1967 to 1997 were analysed.Results 24 cases,which account for 23.8%, were misdiagnosed as following:8 cases of cholecystitis and bilestone;3 cases of acute pancreatitis;2 cases of cysts of the pancreas;4 cases of hepatitis;1 case of hepatocirrhosis ascites;2 cases of gastric cancer;1 case of gastric ulcer intercurrent pyloric obstruction;1 case of colon cancer;2 cases of diabetes.Conclusion The main causes of misdiagnosis in pancreatic cancer were:the anatomical and biological characteristics of pancreatic cancers, non-characteristics of early symptoms,ignorance of the early symptoms by patients,lack of awareness of pancreatic cancers of doctors and the absence of characteristic methods of diagnosis in pancreatic cancer at present.