Ariyama J, Suyama M, Satoh K, Sai J
Department of Gastroenterology, Juntendo University, Tokyo, Japan.
Pancreas. 1998 Apr;16(3):396-401. doi: 10.1097/00006676-199804000-00030.
Symptoms and laboratory studies provide only limited assistance in the diagnosis of small pancreatic carcinomas. Ultrasound and computed tomography are best suited for screening small pancreatic carcinomas because of their ease and accuracy. When findings of ultrasound and computed tomography suggest small pancreatic carcinomas, MR cholangiopancreatography and endoscopic ultrasound should be indicated. Both techniques can show very small tumors. Follow-up of 77 patients with pancreatic carcinoma in whom the tumor was resected showed a 100% 5-year survival rate of patients with tumor limited to the duct epithelium. The majority of these tumors were <1 cm. These tumors are considered early pancreatic carcinoma.
症状和实验室检查对小胰腺癌的诊断帮助有限。超声和计算机断层扫描因其简便性和准确性，最适合用于小胰腺癌的筛查。当超声和计算机断层扫描结果提示小胰腺癌时，应进行磁共振胰胆管造影和内镜超声检查。这两种技术都能显示非常小的肿瘤。对77例接受肿瘤切除术的胰腺癌患者的随访显示，肿瘤局限于导管上皮的患者5年生存率为100%。这些肿瘤大多数小于1厘米。这些肿瘤被认为是早期胰腺癌。
