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报道经病理确诊的胰腺癌116例。临床分析示腹痛和(或)黄疸是最常见的首发症状,目前常用的生化检验和影像检查对胰腺癌的早期诊断仍较困难。提出中、老年患者出现不明原因的一般消化道症状、持续性黄疸、突然发生既非肥胖又无家族史的胰腺炎和糖尿病、γ-GT持续升高,应首选B超及CA19-9检查,以期早期诊断和治疗胰腺癌。
Reported 116 cases of pancreatic cancer confirmed by pathology. Clinical analysis shows that abdominal pain and (or) jaundice are the most common first symptoms, and the commonly used biochemical tests and imaging examinations are still difficult for early diagnosis of pancreatic cancer. To suggest that patients with unexplained general gastrointestinal symptoms, persistent jaundice, sudden non-obesity and family history of pancreatitis and diabetes, and persistently elevated γ-GT should be recommended for middle-aged and elderly patients, and B-ultrasound and CA19-9 should be the first choice. With a view to early diagnosis and treatment of pancreatic cancer.