小胰癌的病理学特点分析  

Pathological features of small pancreatic cancer

作　　者：陈革[1] 丛林[1] 牛备战[1] 赵玉沛[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院普外科,北京100730

出　　处：《中国实用外科杂志》2004年第5期291-292,共2页Chinese Journal of Practical Surgery

摘　　要：目的　了解小胰癌的病理学特点。方法　回顾性分析自 1980年 4月至 2 0 0 2年 5月经手术治疗的有完整病理资料的小胰癌 (直径 <2cm) 2 0例。结果　 2 0例 (10 0 % )均有周围组织浸润 ;15例 (75 % )有周围淋巴结转移 ,5例 (2 5 % )无淋巴结转移 ;按照肿瘤的国际标准分期Ⅰ期 5例 ,Ⅲ期 15例。结论　即使是肿瘤直径 <2cm的小胰癌 ,绝大多数已经发生转移 ,病理分期为Ⅲ期 ,已经不属于早期胰腺癌。因此 ,只有进一步加强对早期胰腺癌的警惕和对高危人群的监测 ,才有可能发现较多的早期胰腺癌 ,改善病人的预后。Objective To understand the pathological features of small pancreatic cancer.Methods The clinical data of 20 pancreatic cancer patients(less than 2cm in diameter) with complete pathological data treated by surgery from April 1980 to May 2002 were reviewed.Results All the 20 cases had peripheral invasion,among which 5 cases were in stage Ⅰ,15 in stage Ⅲ according to UICC stage classification.Conclusion Most small pancreatic cancers less than 2cm in diameter have metastasis and do not belong to early stage.Early diagnosis and monitoring of high-risk population are important for improving the prognosis.

关 键 词：小胰癌 病理学特点 手术治疗 生存率 病理分期 

分 类 号：R735.9[医药卫生—肿瘤]