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目的:探讨中国人小胰腺癌的临床特征。方法:以日本31例小胰腺癌及国内80例普通非小胰腺癌为对照组,分析研究经病理确诊的36例小胰腺癌的临床病理特征。结果:36例小胰腺癌34例(94.4%)有症状,33例(91.7%)位于胰头。首发及常见症状为黄疸,其中75.0%为无痛性黄疸。US、CT、ERCP诊断准确率分别为58.1%、65.2%、52.1%。19例(52.8%)处于Ⅰ期。总体1年生存率为63.9%,Ⅰ期者1年生存率为84.2%。结论:中国的小胰腺癌检测诊断较为滞后,应加强健康查体及卫生宣传,警惕不典型消化道症状。
Objective: To investigate the clinical features of Chinese small pancreatic cancer. Methods: Thirty-one patients with pancreatic cancer in Japan and 80 patients with non-small pancreatic cancer in our country were selected as the control group. The clinicopathological features of 36 patients with pancreatic cancer confirmed by pathology were analyzed. Results: Thirty-six patients (94.4%) had pancreatic cancer and 33 (91.7%) had pancreatic head. The first and common symptoms are jaundice, of which 75.0% are painless jaundice. The diagnostic accuracy rates of US, CT and ERCP were 58.1%, 65.2% and 52.1% respectively. 19 cases (52.8%) were in stage I. The overall 1-year survival rate was 63.9%, and the 1-year survival rate was 84.2%. Conclusion: The detection and diagnosis of small pancreatic cancer in China lags behind. Health check-ups and public health campaigns should be strengthened to guard against atypical gastrointestinal symptoms.