Pancreas cancer difficult point and _'s treatment of the countermeasure

Pancreas cancer difficult point and _'s treatment of the countermeasure
First, pay attention to the diagnosis in early days of pancreas cancer:
1 . See clearly pancreas cancer and diagnose the relation with curative effect of operation in early days
Tumour it finds to be the key to obtaining the best therapeutic effect early period, early the intersection of pancreas and the intersection of cancer and the intersection of surgery and person who excise for 90-100 % , 5 Annual survival rate can be reached 70-100 % , A pancreas cancer is compared with developing, enormous contrast exists in its therapeutic effect. Today, it is developed at full speed that it is obtained that various images learnt technology, the early diagnosis rate of pancreas cancer is still very low, besides characteristic of pancreas cancer, it is one of the main reasons for this kind of state to lack due vigilance and enough attention. Invite more than half patient to be misdiagnosed as intestines and stomach or disease in the liver and gallblader, time is mostly 3-6 months, when making a definite diagnosis of, most patients have lost the chance of effecting a radical cure excision. So, as to the patient of the first visit, the clinic doctor should realize the possibility that there is pancreas cancer to exist, and carry on the pointed inspection, in order to reduce the mistaken diagnosis rate of pancreas cancer, shorten and make a definite diagnosis of time.
2 . Strengthen the work of propaganda and education, improve the vigilance to the early pancreas cancer
Pancreas cancer is difficult to find that there is reason coming from two respects of doctor and patient in early days. It is a doctor at first, should make great efforts to make the own patient who goes to see doctor not misdiagnosed, make a definite diagnosis of early. Over 40 to age, because the belly aches, jaundice, upper abdomen are uncomfortable, indigestion, becoming thin, being sick, vomiting or coming down with the patient that diabetes went to a doctor, after getting rid of other diseases, should highly suspect pancreas cancer, carry on the essential inspection, try to diagnose in early days. The most common mistaken diagnosis reason is the diagnosis which is satisfied with the chronic gastritis at present, so that affect the condition adversely. So is over 40 to age, the patient whose upper abdomen has the non- specific symptom, must guard against being satisfied with this diagnosis, should check the careful sieve. For not there is not condition that implement the hospital further checkedding, should change the place of examination in time. In the large hospital of what patients relatively concentrated, should try hard to shorten and check time. Our academy establish diagnose by surgery, internal medicine department, image department and dept. of pathology large department that relevant department make up cooperate in the group, open up the landscaped roadway, guarantee a patient finishes the essential inspection within shortest time, diagnose as soon as possible, treat in time. On the other hand, a lot of patient slight to less than the hospital, go to a doctor often in symptom, also one of the important factors difficults to find of pancreas cancer in early days. To this kind of situation, medical personnels have responsibility to strengthen the work of propaganda and education, popularize relevant knowledge.
3 . It is an important means to find early pancreas cancer to monitor the high-risk group
The intersection of pancreas and cancer have high-risk group, go on, sift, consult and monitor, can find pancreas cancer to it as soon as possible, make it possible to diagnose in early days. The high-risk group of pancreas cancer include the following several respect: ( 1 ) Older at 40 years, upper abdomen is non- specific and uncomfortable; ( 2 ) Person who has family's history of pancreas cancer; ( 3 ) The diabetic happens suddenly, especially not typical diabetes, age is over 60, lack family's history, does not have fat, form the insulinogenic resistant quickly. The pancreas cancer patient of 40 is with diabetes while making a definite diagnosis of; ( 4 ) Chronic pancreatitic patient, think chronic pancreatitis and pathological change before being an important cancer in the little part of patients at present, especially chronic family pancreatitis and chronic calcification pancreatitis; ( 5 ) Pathological change before mucus tumour of papilla also belongs to cancer in the conduit; ( 6 ) Suffer from to the family adenoma polyp patient; ( 7 ) Benign pathological change competent to carry the intersection of stomach and person who excise mostly far, the intersection of skill and the intersection of the next 20 years and more than crowd; (8 ) Endangering the factor to smoke, drink in a large amount high of pancreas cancer, and contact harmful chemical material,etc. for a long time.
4 . Choose the auxiliary inspection means rationally, make a definite diagnosis of pancreas cancer as soon as possible
To suspecting patient of pancreas cancer and high-risk group of pancreas cancer on clinic, should first choose to have no creating inspection means to sift and check, such as Ultrasonography B, ct, mri, mrcp and serological tumour mark thing,etc.. The jointly detecting and studying the inspection result and combining together with the image of tumour mark thing, can mention Gaoyang rate, contribute to the diagnosis in early days of pancreas cancer. Utilize ercp to check and collect the pure pancreatic juice, brushes and fetches and losses cells to walk cytologic checking, cancer gene mutation and tumour mark thing are measured, this is an important progress that pancreas cancer is diagnosed in early days in recent years, it can improve the detection rate of the early pancreas cancer notably. In being peripheral for blood plasma little to have wound in the detections of gene mutation in k-ras, fast and accurately, repeatability fine advantage, the screening used for high-risk group of pancreas cancer, probably open up the new prospect for the diagnosis in early days of pancreas cancer. In addition, study the own diagnosis in early days that begin to be applied to pancreas cancer gradually of inspection means in a lot of new images, for instance the supersound, trends spiral ct, pet,etc. in the pancreatic duct mirror, pancreatic duct, can make little increasingly many pancreas cancer find.
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