胰腺癌如何鉴别诊断 张晓瑞 山西省肿瘤医院 скачать в хорошем качестве

胰腺癌如何鉴别诊断 张晓瑞 山西省肿瘤医院

胰腺癌如何鉴别诊断 张晓瑞 山西省肿瘤医院 胰腺癌鉴别诊断的方法：1、腹痛是胰腺癌最常见的症状，并且多为首发症状。表现为上腹部疼痛，位置较深无确定的部位。2、胰腺癌可出现黄疸，严重时出现阻塞性黄疸，表现为皮肤黏膜黄染、大便变白、小便发黄。3、出现肝转移时可出现肝肿大；出现腹膜转移，可有腹水形成，可有营养不良的症状，如腹胀、消瘦等。需与胰腺癌鉴别的疾病有：1、慢性胰腺炎。慢性胰腺炎表现为腹痛恶心、呕吐、发热，腹部CT检查发现胰腺腺体的部分钙化。2、胰腹部癌。胰腹部癌发生于胆管及胰管下方的恶性肿瘤，通过检查可以发现肝内胆管扩张，梗阻位置较低。3、与胰腺囊性肿瘤、胰岛素瘤、胃泌素瘤、原发胰腺淋巴瘤等相鉴别 Differential diagnosis of pancreatic cancer Methods of differential diagnosis of pancreatic cancer: 1. Abdominal pain is the most common symptom of pancreatic cancer, And most of them are the first symptoms. Pain in the upper abdomen, There is no definite position in the deeper position. 2. Jaundice may occur in pancreatic cancer, Severe obstructive jaundice, It shows yellow staining of skin and mucous membrane, white stool and yellow urine. 3. Hepatomegaly may occur when liver metastasis occurs; Peritoneal metastasis, Ascites may form, Can have malnutrition symptoms, Such as abdominal distension, emaciation, etc. The diseases that need to be differentiated from pancreatic cancer are: 1. Chronic pancreatitis. Chronic pancreatitis is characterized by abdominal pain, nausea, vomiting and fever, Some calcification of pancreatic gland was found by abdominal CT. 2. Carcinoma of pancreas and abdomen. Cancer of the pancreas abdomen occurs in the malignant tumor under the bile duct and pancreatic duct, Intrahepatic cholangiectasis can be found by examination, The position of obstruction was low. 3. Differentiation from cystic tumor, insulinoma, gastrinoma and primary lymphoma of pancreas