Tocchi A, Lepre L, Mazzoni G, Liotta G, Basso L, Costa G, Sita A
Istituto di I Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1993 Mar;14(3):155-8.
Between 1960 and 1989, 207 patients with cancer of the head of the pancreas were diagnosed in the 1st Surgical Department of the University of Rome "La Sapienza". While in the first period (1960-'74) diagnosis was performed on the basis of clinical signs and traditional radiological findings, imaging and endoscopy became progressively the main diagnostic tools in the second one (1975-'89). The authors analyse how the different diagnostic approach has influenced the therapeutical outcome. Earlier diagnosis, increased resectability, proper surgical indication, decreased morbidity and mortality, improvement of survival are the achieved results.
1960年至1989年间，罗马第一大学“La Sapienza”第一外科诊断出207例胰头癌患者。在第一阶段（1960 - 1974年），诊断基于临床症状和传统放射学检查结果，而在第二阶段（1975 - 1989年），影像学和内镜检查逐渐成为主要诊断工具。作者分析了不同诊断方法如何影响治疗结果。实现的成果包括早期诊断、可切除性增加、手术指征恰当、发病率和死亡率降低以及生存率提高。
