Khazanov A I, Ivlev A S, Vasil'ev A P, Kalinin A V, Nikitin V G, Sidorenko G V, Belogolovtsev V A, Seleznev Iu K, Stepuro D K, Miroshnichenko G T
Vestn Ross Akad Med Nauk. 1993(4):38-42.
A total of 97 patients with pancreatic carcinoma were examined with sonography, computed tomography of the pancreas and endoscopy of the stomach and duodenum. The tumor involved mainly the head of the pancreas in 69 (71.1%), the body in 21 (21.7%) and the tail in 7 (7.2%) patients. Two basic types of the disease were identified: disseminated in 83 patients and rare in 14 patients. The disseminated type included a central (45 patients) and a peripheral (38 patients) variant. The latter is classed as peripheral (n = 30) and paraduodenal (n = 8). The rare types included masked variants (n = 6), miniblastomas (n = 3), megablastomas (n = 2) of the pancreas, as well as thrombotic variants of the disease (n = 3). The highest diagnostic value of sonography and computed tomography was observed in intrinsic peripheral variants of carcinoma. Gastroduodenal endoscopy along with biopsy of suspected segments is highly diagnostic in paraduodenal variants of the disease.
共有97例胰腺癌患者接受了超声检查、胰腺计算机断层扫描以及胃和十二指肠内镜检查。肿瘤主要累及胰头69例（71.1%），胰体21例（21.7%），胰尾7例（7.2%）。确定了两种基本类型的疾病：弥漫型83例，罕见型14例。弥漫型包括中央型（45例）和周围型（38例）。后者又分为周围型（n = 30）和十二指肠旁型（n = 8）。罕见类型包括隐匿型（n = 6）、微小母细胞瘤（n = 3）、巨大母细胞瘤（n = 2）以及血栓形成型（n = 3）。超声检查和计算机断层扫描在癌的内在周围型中诊断价值最高。胃十二指肠内镜检查以及对可疑节段进行活检在疾病的十二指肠旁型中具有高度诊断价值。
