胰腺癌诊治指南（Guidelines for the diagnosis and treatment of pancreatic cancer）.docVIP

下载本文档

5
0
约1.11万字
约 13页
2017-09-02 发布于河南
举报
版权申诉

胰腺癌诊治指南（Guidelines for the diagnosis and treatment of pancreatic cancer）.doc

1、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

胰腺癌诊治指南（Guidelines for the diagnosis and treatment of pancreatic cancer）

胰腺癌诊治指南（Guidelines for the diagnosis and treatment of pancreatic cancer） Guidelines for the diagnosis and treatment of pancreatic cancer Shanghai Tumor Hospital Combined therapy group of liver, gallbladder and pancreas 1 、 diagnosis and diagnosis process Medical history and physical examination First of all, a detailed history should be asked, including family history, diet history, chronic pancreatitis, diabetes history, etc.. For obstructive jaundice, unexplained weight loss (more than normal weight 10%), unexplained abdominal pain or back pain, the recent emergence of unexplained indigestion and gastrointestinal tract, diabetes and normal routine emergency without a family history of obesity and diabetes, sudden unexplained diarrhea, spontaneous onset of pancreatitis performance should be alert to the possibility of pancreatic cancer. laboratory examination Detection of serum tumor markers CA19-9 and CA242, CA19-9 is more sensitive in the diagnosis of pancreatic cancer, and the specificity of CA242 is better than CA19-9. The items must be checked: CEA, CA19-9, CA50, CA242. Special inspection B ultrasound is the first non-invasive examination for pancreatic cancer. The ultrasound found abnormal or unclear display should be CT or MRI to check further, can further display the location and size of the pancreatic mass and density as well as there is no pancreatic duct and (or) local bile duct dilatation, lesion invasion, lymph node metastasis and is associated with liver metastasis. For CT/MRI diagnostics, ERCP can be considered explicitly. Pathological diagnosis Mainly include (1) fine needle aspiration biopsy guided by US and CT; (2) EUS; (3) laparoscopic and intraoperative biopsy; (4) the pancreatic and duodenal drainage; (5) peritoneal lavage fluid and ascites. Pathological diagnosis is necessary before and after chemoradiotherapy for resectable pancreatic cancer Diagnostic flow chart Diagnostic flow chart Upper abdominal pain, jaundice, weight loss B ultrasonic e