Delayed Diagnosed Pancreatic Cancer_West China Medical Journal

Authors：

CHEN Lin ,  YANG Jinlin , YANG Li , WANG Chunhui

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding?author：

YANG Jinlin, Email: endochenlin@163.com

Keywords：

胰腺癌; 早期診斷; 延時診斷

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【摘要】　目的　探討胰腺癌早期診斷的要點及誤診因素。　方法　回顧性分析2009年7月8日收治的1例以腹脹、嘔吐為主要表現的胰腺癌患者。　結果　患者經及時剖腹探查確診為胰腺癌并行手術切除。　結論　胰腺癌起病隱匿，其早期誤診率高，進行胰腺癌的早期診斷、避免誤診是提高預后的重點和難點。
【Abstract】　Objective　 To explore the main points of early diagnosis of pancreatic cancer and its misdiagnosis factors.　Methods　 The clinical data of one patient with pancreatic cancer on the 8th July, 2009 was retrospectively analyzed. The chief complaints included abdominal distension and vomiting.　Results　 By exploratory surgery in time,the patient was diagnosed as pancreatic cancer and underwent the resection.　Conclusion　 The onset of pancreatic cancer is very insidious,usually with a high misdiagnosis rate. How to make the right early diagnosis and to avoid misdiagnosis are the focal points of improving the prognosis.

Citation： CHEN Lin,YANG Jinlin,YANG Li,WANG Chunhui. Delayed Diagnosed Pancreatic Cancer. West China Medical Journal, 2010, 25(11): 1972-1974. doi: Copy

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1. 　American cancer society. Cancer Facts & Figures 2009[M]. Atlanta, GA: Arnerican Cancer Society, 2009: 4-5.
2. 　顧凱, 吳春曉, 鮑萍萍, 等. 上海市胰腺癌流行現況、回顧與比較分析[J]. 外科理論與實踐, 2009, 14(5): 510-515.
3. 　李兆申, 余志良, 周國中, 等. 胰腺癌誤診因素分析[J]. 解放軍醫學雜志, 2002, 27(4): 304-306.
4. 　羅馬委員會. 功能性胃腸病羅馬Ⅲ診斷標準[J]. 胃腸病學, 2006, 11(12): 761-765.
5. 　Goonnetilleke KS, Siriwardena AK. Systematic review of carbohydrate antigen (CA 19-9) as a biochemical marker in the diagnosis of pancreatic cancer[J]. Eur J Surg Oncol, 2007, 33(3): 266-270.
6. 　Chari ST. Detecting early pancreatic cancer-problems and prospects[J]. Semin Oncol, 2007, 34(4): 284-294.
7. 　吳晰，陸星華，徐彤，等. 腫瘤標志物K-ras和P53突變對胰腺癌診斷的價值[J]. 中華內科雜志，2005，244(10)：741-744.
8. 　張群華, 倪泉興. 胰腺癌2340例臨床病例分析[J]. 中華醫學雜志, 2004，84(3): 214-218.
9. 　D′Onofrio M, Gallotti A, Pozzi Mucelli R. Imaging techniques in pancreatic tumors[J]. Expert Rev Med Devices, 2010, 7(2): 257-273.
10. 　Klapman J, Malafa MP. Early detection of pancreatic cancer: why, who, and how to screen[J]. Cancer Control, 2008, 15(4): 280-287.
11. 　Gemmel C, Eickhoff A, Helmstadter L, et al. Pancreatic cancer screening: state of thr art[J]. Expert Rev Gastroenterol Hepatol, 2009, 3(1): 89-96.
12. 　Peddu P, Quaglia A, Kane PA, et al. Role of imaging in the management of pancreatic mass[J]. Crit Rev Oncol Hematol, 2009, 70(1): 12-23.

West China Medical Journal

Delayed Diagnosed Pancreatic Cancer

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