Iakimov A, Zheleva I, Viiachki I
Khirurgiia (Sofiia). 1990;43(1):56-9.
A study of ample postmortem case material of 25589 autopsies for a period of 25 years (1963-1987) revealed great diversity of the histologic forms of pancreas cancer both in males and in females, associated with numerous local complications (infiltration in adjacent organs). The major number of cases--144 (34.4 per cent of the total number) had histologic characteristics of adenocarcinoma: 88 cases in males (32.1 per cent) and 56 in females (38.6 per cent). Second in incidence--109 cases (26 per cent of the total number) had histologic characteristics of adenoscirrhous cancer--77 in males (28.1 per cent) and 32 in females (22.1 per cent). This is in keeping with the concept that adenocarcinoma is the most common from of pancreas cancer. The next most common forms are adenocarcinoma combined with nondifferentiated cancer, gelatinous carcinoma, adenoscirrhous with nondifferentiated scirrhous carcinoma, etc. An interesting fact is that the general trend of predominance of carcinoma of almost all histologic forms in males keeps on being valid. It is logical to expect that adenocarcinoma will keep on being the most common histologic form of pancreas cancer in the future.
一项对25年（1963年至1987年）期间25589例尸检的大量尸检病例材料进行的研究显示，男性和女性胰腺癌的组织学形式存在很大差异，并伴有许多局部并发症（浸润邻近器官）。大部分病例——144例（占总数的34.4%）具有腺癌的组织学特征：男性88例（占32.1%），女性56例（占38.6%）。发病率第二——109例（占总数的26%）具有腺硬癌的组织学特征——男性77例（占28.1%），女性32例（占22.1%）。这与腺癌是胰腺癌最常见形式的概念相符。接下来最常见的形式是腺癌合并未分化癌、胶样癌、腺硬癌合并未分化硬癌等。一个有趣的事实是，几乎所有组织学形式的癌在男性中占优势的总体趋势仍然成立。可以合理预期，腺癌在未来仍将是胰腺癌最常见的组织学形式。
