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[胰腺体尾部肿瘤的外科治疗:117例报告]

[Surgical therapy of tumor of body and tail of pancreas: report of 117 cases].

作者信息

Liu Qian, Zhao Ping, Wang Cheng-feng, Cai Jian-qiang, Shao Yong-fu, Bai Xiao-feng

机构信息

Department of Abdominal Surgical Oncology, Cancer Hospital and Institute, Chinese Academy of Medical Science, Beijing 100021, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2006 Mar 1;44(5):333-5.

Abstract

OBJECTIVE

To explore diagnosis and surgery therapy and factors influencing the prognosis of tumor of body and tail of the pancreas.

METHODS

The clinical data of 117 cases of tumor of tail and body of pancreas who underwent operation were analysed.

RESULTS

Imaging and tumor marker detection can give exact diagnosis to cases with tumors of body and tail of pancreas. The medial survival time of radical resection, palliative resection and exploratory laparotomy were 18, 8 and 3.5 months.

CONCLUSIONS

Atypical signs should be noticed, combined imaging and serum detection can diagnose the cases exactly, radical resection is the unique method for long survival, the diameter of the tumor and degree of infiltration to major vessels and organs is important.

摘要

目的

探讨胰体尾肿瘤的诊断、手术治疗及影响预后的因素。

方法

分析117例行手术治疗的胰体尾肿瘤患者的临床资料。

结果

影像学检查和肿瘤标志物检测可对胰体尾肿瘤患者作出准确诊断。根治性切除、姑息性切除和剖腹探查术患者的中位生存时间分别为18个月、8个月和3.5个月。

结论

应注意不典型体征,联合影像学和血清学检测可准确诊断,根治性切除是延长生存期的唯一方法,肿瘤直径及对主要血管和器官的浸润程度很重要。

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