摘要
[目的]探讨胰腺癌早期诊断的影响因素。[方法]回顾总结319例胰腺癌病人的临床特征,尤其是首发症状和首次就诊症状。[结果]首发症状以腹痛、上腹不适、厌食、黄疸多见,出现病例数分别为157例、76例、67例、46例。首次就诊时,多数病人症状增多、加重,尤其是出现厌食、黄疸、腰背疼痛、乏力、消瘦等症状的病例明显增加。73例病人首次就诊没有进行必要的辅助检查,102例病人有误诊史。[结论]对于出现腹痛、上腹不适、厌食、黄疸等症状的病例,要考虑到胰腺癌的可能,及时进行有效的辅助检查,是发现早期胰腺癌、改善病人预后的重要措施。
[Purpose ] To study the influence factors of early diagnosis in pancreatic cancer. [Methods ] The clinical presentation of 319 cases of pancreatic cancer, especially their initial symptoms and symptoms at first visit to a doctor were analyzed retrospectively. [Results ] Pain, abdominal discomfort, anorexia and obstructive jaundice as initial symptoms were found in 157, 76, 67 and 46 cases respectively. In majority of patients symptoms increased and aggravated at first visit to a doctor, especially in patients with anorexia, obstructive jaundice, back pain, fatigue, and weight loss. Seventy-three patients didn＇t get necessary examination at the beginning. One hundred and two patients had been misdiagnosed at the first diagnosis. [Conclusions] For patients who troubled with pain, abdominal discomfort, anorexia, obstructive jaundice, possibility of pancreatic cancer should be considered and efficient examination should be catTied out for them. These are important procedures for early diagnosis and prognosis improvement in pancreatic cancer.
出处
《中国肿瘤》
CAS
2007年第1期57-59,共3页
China Cancer
基金
国家科技"十五"攻关计划课题(2004BA703B11)
关键词
胰腺肿瘤
临床表现
早期诊断
影响因素
pancreatic neoplasms
clinical presentation
early diagnosis
influence factors
