Wednesday, January 30, 2013

Pancreas cancer and clinical characteristic _ symptom

Pancreas cancer and clinical characteristic _ symptom
It is one of the common digestive system malignant tumour, patient's age is at 40- 70 years old more, see more men. Occur frequently on the intersection of pancreas and the intersection of hair and position ' Accounts for 70%- 80%) ,Can present many centres to sow scatteredly, the malignant intensity is high, and difficult to find in early days. The excising rate of operation is low and difficult in order that completely, it is only 5% to excise the survival rate of 5 years after the operation.
[Clinical feature ]
1,Suffer from abdominal pain often in order to first publish symptom, it is the body of pancreas, pancreas end cancer and most common symptom too. Suffer from abdominal pain position in the intersection of middle and upper abdomen, often present continuation, going on aggravation. Cancerous swelling can show as getting obstinate low-back pain later period, brief cancerous swelling on the intersection of belly and wall and the intersection of abdominal cavity and neural clump infringe already.
2,Jaundice and obstructive jaundice are pancreas head cancer and most outstanding symptom, generally present the going on and aggravate, accompany skin pruritus, the urine is presented densely and dark brown, the stool can present color of potter's clay.
3,Become thin weak caused by cancerous swelling physique consume, lose the appetite and pancreas function insufficient and lasting abdominal pain influence, sleep and have a rest seriously, the patient can present the weight decline rapidly, the evil liquid quality sign of whole body such as being weak that become thin.
4,The intersection of digestive tract and symptom list blockage because of bile and pancreatic juice, enable gastrointestinal disorders of digestion, the patient often has appetite failing, sick, vomits, the abdominal distension and diarrhoea.
5,Persons who obstruct with the biliary tract, serum bilirubin (mainly direct bilirubin) Can increase notably, alkaline phosphatase is raised, some patient empty stomach blood glucose rises, the sugar tolerance test presents the diabetic curve.
6,Pancreas cholangiography of the back run (ERCP) Reveal the pancreatic duct is narrow, with stiff and expanding, cutting off, shifting tube wall.
7,In charge of the radiography (PTC) by the liver and gall of skin Can reveal the bile duct is expanded in the liver, the pancreatic duct is full of defect, cut off, shift, the tube wall is stiff.
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