胰腺癌207例临床病理特征分析  

An Analytic Study on Clinical Pathology Features of 207 Cases of Pancreatic Adenocarcinoma

作　　者：李晓姝[1] 郭晓钟[1] 任丽楠[1] 邹德莉[1] 

机构地区：[1]沈阳军区总医院,110840

出　　处：《实用癌症杂志》2010年第6期638-641,共4页The Practical Journal of Cancer

摘　　要：目的分析胰腺癌的临床特征,探讨其高危因素、诊治及预后。方法回顾性分析207例胰腺癌患者的临床资料。结果胰腺癌患者男女比为1.875:1;随年龄增长发病率增高;首发及常见症状为腹痛,其次为黄疸;超声、CT及ERCP检查诊断阳性率分别为75.9%,92.2%,100.0%。CA19-9阳性率为78.0%;60.3%的肿瘤位于胰头;小胰腺癌6例;Ⅳ期患者139例(67.1%)。55例患者接受手术治疗;2例生存期超过5年。结论重视胰腺癌患者的首发症状及胰腺癌高危人群,优化诊治方案,改善患者预后。Objective To summarize the clinical characteristics of pancreatic carcinoma and to study the risk factors,diagnosis,treatment policy and prognosis in patients with pancreatic cancer.Methods The clinical data of 207 patients with pancreatic cancer were analyzed retrospectively.Results The incidence of pancreatic cancer in men were higher than that in male,and was increased with age.The initial clinical manifestation of pancreatic cancer patients was abdominal pain（49.7%）,secondly jaundice（15.0%）.The accuracy rates of ultrasonography,CT and ERCP were 75.9%,92.2% and 100.0%,respectively.The diagnosis rate of CA19-9 was 78.0%.6 patients had small pancreatic cancer,and 139 patients（67.1%） had stage Ⅳ disease.55 patients were treated by surgery,of which 2 survived more than 5 years.Conclusion It is important to pay attention to the initial symptom and choose reasonable detection and therapy method to improve the prognosis of the patients.

关 键 词：胰腺肿瘤 诊断 分期 预后 

分 类 号：R735.9[医药卫生—肿瘤]