Matsuno S, Kato S, Kobari M, Sato T
Jpn J Surg. 1986 Nov;16(6):406-11. doi: 10.1007/BF02470607.
Out of 272 pancreatic cancer patients, 94 with hematogenous metastasis were clinicopathologically analyzed. The incidence of hematogenous metastases on laparotomy was 31.3 per cent in the liver, 1.8 per cent in the lung, 1.1 per cent in the adrenal gland and 0.4 per cent in the navel, respectively. The incidence of liver metastasis, in 22.9 per cent of the patients with carcinoma of the head of the pancreas and in 47.3 per cent of those of the body and tail of the pancreas, was higher than that of carcinomas of the other digestive organs. In autopsy findings, early metastases to the liver, lung, cerebellum and ovarium were evident. A higher rate of liver metastasis with lymph node involvement in the early stage of the disease was peculiar to cases of pancreatic cancer.
在272例胰腺癌患者中，对94例发生血行转移的患者进行了临床病理分析。剖腹手术时血行转移的发生率分别为：肝脏31.3%、肺1.8%、肾上腺1.1%、脐0.4%。胰腺癌肝转移的发生率在胰头癌患者中为22.9%，在胰体尾癌患者中为47.3%，高于其他消化器官癌。尸检结果显示，早期转移至肝脏、肺、小脑和卵巢较为明显。疾病早期肝转移率较高且伴有淋巴结受累是胰腺癌病例所特有的。
