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《Practical Clinical Medicine》 2000-01
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Clinical Analysis of 158 Cases with Pancreatic Carcinoma

LU Nonghua,WAN Rong,YAN Nan,XU Ping,XIE Yong,SU Xu,WANG Chongweng (denpartiment of Gastroentology ,First Affiliated Hospital,Jiangxi medical College,Nanchang 330006,China)  
Objectives:To invedtigate the clinical manifestations and diagnosis of pancreatic carcinoma.Methods:Two hundred and fifty seven cases of pancreatic carcinoma (PC) in this hospital since 1970 were analyzed.Results:Among them,158 patients were diagnosed by operations.101 patients were males and 57 were females.They aged 24~86 years (average 53.7+10.8 years).Initial symptoms included abdominalgia (67.7%),janndice (13.3%),distention (9.5%),and epigastric discomfort (5.3%).The clinical manifestations were related to location of PC.Anorexia,janndice,tired,and fever were the most common symptoms in carcinoma of the head of the pancreas,While magersucht and lumbago likely occurred in cancinoma of the body or trail of pancreas.25 patients were performed oprative excision (15.8%),and metastases were found in 130 patients by surgeons during the operation.Conclusions:The clinical manifestations are the most importent key in the early stage of PC.B-type ultrasonograply,computerized tomography (CT),and endoscopic retrograde cholangio-pancreatography (ERCP) are decisive factors in diagnosis of PC.
【CateGory Index】: R735.9
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