Department of Internal Medicine, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Acta Med Indones. 2020 Apr;52(2):185-191.
Pancreatic cancer commonly diagnosed at late stage due to subtle clinical manifestation and associated with low 5-year survival rate. Only 10-20% of patients were found in resectable or localized stage. Several complications may arise due to advanced pancreatic cancer such as obstructive jaundice, gastric outlet obstruction, pancreatic cancer cachexia, pruritus of cholestasis, and cancer pain. Palliative management should be optimized in order to improve patient's quality of life. A gastroentero-hepatologist should collaborate with other specialties to give comprehensive palliative care for advanced pancreatic cancer patients.
由于临床表现不明显,胰腺癌通常在晚期才被诊断出来,且 5 年生存率较低。只有 10-20%的患者处于可切除或局部阶段。晚期胰腺癌可能会引发多种并发症,如阻塞性黄疸、胃出口梗阻、胰腺癌恶病质、胆汁淤积性瘙痒和癌痛。为了提高患者的生活质量,应优化姑息治疗。胃肠病专家应与其他专业合作,为晚期胰腺癌患者提供全面的姑息治疗。