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对2004年1月～2008年6月我院收治的34例T2DM并胰腺癌病例进行分析,评价T2DM与胰腺癌的关系。结果(1)T2DM并胰腺癌者糖尿病病史在2年以下或10年以上;(2)在短期内血糖波动突然增大;(3)消瘦、黄疸及腹胀常为其早期临床表现;(4)肿瘤好发于胰头,CA199阳性率高。结论糖尿病是胰腺癌的好发人群,病情稳定的糖尿病患者一旦出现血糖异常波动,须警惕胰腺癌的可能。
From January 2004 to June 2008 in our hospital, 34 cases of T2DM and pancreatic cancer were analyzed to evaluate the relationship between T2DM and pancreatic cancer. Results (1) The history of diabetes mellitus in T2DM and pancreatic cancer patients was below 2 years or above 10 years; (2) sudden increase of blood glucose in short term; (3) emaciation, jaundice and abdominal distention were often their early clinical manifestations; (4) Tumors occur in the head of the pancreas, CA199-positive rate. Conclusion Diabetes mellitus is a predominant group of patients with pancreatic cancer. Once stable blood glucose level fluctuates, patients with stable diabetes should be alert to the possibility of pancreatic cancer.