Phased _'s general knowledge of pancreas cancer
Western medicine mean more international pancreas cancers TNM by stages and clinical by stages by stages:
1,International pancreas cancer TNM phased ( UICC, 1987) ,T mean, send tumour situation originally, N mean lymphocytic the intersection of transformation and situation, M mean distant place shifts the situation.
( 1) Send tumour (T) originally By stages:
Tx: Can't judge.
T0: Have not sent the tumour evidence originally.
T1: Swell and has not gone beyond the pancreas originally.
T1a: Tumour is less than or equal to 2cm.
T1b: Tumour> 2cm.
T2: Tumour infringes the duodenum, biliary tract or pancreas surrounding tissue.
T3: Tumour infringes stomach, spleen, colon, trunk.
( 2) Small regional lymph node (N) By stages
N x: Can't judge.
N 0: The regional lymph node has not been shifted.
N 1: There are regional lymph nodes that are shifted.
( 3) Shift (M) at a distance By stages:
Mx: Can't judge.
M0: There is no distant place to shift.
M1: There is distant place that is shifted.
2,Clinic is by stages
One: T1 N0 M0; T1 N M0; T N0 M0; T N M0.
2One: T2 N0 M0; T2 N M0; T3 N0 M0; T3 N M0.
One: Any T, N1, M0: .
One: Any T, any N, M1.
The clinic of pancreas cancer is important for surgery choosing and quality of therapeutic method by stages. The Japan pancreas is learnt to divide it into four issues: One: Unless it smaller than tumour diameter 2cm, it is shift to lymph nodes regional,it soak by pancreas, last membrane, behind peritoneum, portal vein, intravenous and spleen vein at mesenterium; 2One: Tumour diameter 2.1- 4.0cm, it is to close to tumour for lymph node be had, shifted,last membrane pancreas, behind may shift peritoneum and blood vessels aforesaid; One: Have tumour diameter 4.1- 6cm, the first stop and lymph node between the third stop, shift,last membrane pancreas and behind peritoneum be soaked to be had; One: Greater than tumour diameter by 6.1cm,shift the third stop lymph node, last visceras neighbouring, after soak peritoneum and veins aforesaid extensively.
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