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; 早期诊断; 延时诊断

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【摘要】　目的　探讨胰腺癌早期诊断的要点及误诊因素。　方法　回顾性分析2009年7月8日收治的1例以腹胀、呕吐为主要表现的胰腺癌患者。　结果　患者经及时剖腹探查确诊为胰腺癌并行手术切除。　结论　胰腺癌起病隐匿，其早期误诊率高，进行胰腺癌的早期诊断、避免误诊是提高预后的重点和难点。
【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. 　顾凯, 吴春晓, 鲍萍萍, 等. 上海市胰腺癌流行现况、回顾与比较分析[J]. 外科理论与实践, 2009, 14(5): 510-515.
3. 　李兆申, 余志良, 周国中, 等. 胰腺癌误诊因素分析[J]. 解放军医学杂志, 2002, 27(4): 304-306.
4. 　罗马委员会. 功能性胃肠病罗马Ⅲ诊断标准[J]. 胃肠病学, 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. 　吴晰，陆星华，徐彤，等. 肿瘤标志物K-ras和P53突变对胰腺癌诊断的价值[J]. 中华内科杂志，2005，244(10)：741-744.
8. 　张群华, 倪泉兴. 胰腺癌2340例临床病例分析[J]. 中华医学杂志, 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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