不断提高胰腺癌诊治规范化水平

Improving the standardization of diagnosis and treatment of pancreatic cancer

胰腺癌起病隐匿,缺乏特异性症状和体征,发现时多数已为晚期,预后极差。虽然近年来在诊断和治疗方面取得了一些进展,但其治疗效果仍不令人满意。加强对高危人群的监测和筛查,寻找无创的肿瘤标志物,将有助胰腺癌的早期诊断;多学科综合诊治是目前胰腺癌规范化治疗的核心;准确的术前评估、规范的淋巴清扫、努力提高R0切除率是改善外科手术疗效的关键。本文将对以上方面进行探讨,以期不断提高我国胰腺癌诊治规范化水平。

Most cases of pancreatic cancer can＇t be found until advanced stage and had their prognosis is poor since there are concealed onset and lack of specific symptoms and signs .In recent years , progresses have been made in the diagnosis and treatment of the cancer ; however the therapeutic effects remain unsatisfactory .Monitoring and screening of high-risk groups as well as searching for noninvasive tumor markers would be helpful for the early diagnosis of pancreatic cancer ;Multi-disciplinary comprehensive treatment （ MDT ） is the core of the standardized treatment of pancreatic cancer; accurate preoperative evaluation, standardized lymphadenectomy and efforts to improve R 0 resection are key points to improve the surgical effects .This article is to review the aspects mentioned above in order to improve the diagnosis and treatment of pancreatic cancer in China .