The differential diagnosis of pancreatic cancer
Time:2009-11-05 14:32 Author:admin Hits:
Pancreatic cancer should be stomach diseases, jaundice hepatitis, cholelithiasis, cholecystitis, primary liver cancer, acute pancreatitis, ampullary cancer, gallbladder cancer and other diseases to identify.
1. A variety of chronic stomach diseases: stomach disorders may have abdominal pain, but the more diet-related abdominal pain, jaundice, rare, X-ray barium meal examination and fiber endoscopy is not difficult to identify.
2. Jaundice hepatitis: since the beginning of the two easily confused, but the history of exposure to hepatitis, through the dynamic observation of serum transaminase increased early jaundice, jaundice more in 2 ~ 3 weeks after gradually subsided, serum alkaline phosphatase more is not high.
3. Cholelithiasis, cholecystitis: abdominal pain was episodic colic, acute onset of fever and white blood cells often have increased, jaundice subsided more in the short term or fluctuation, no significant weight loss.
4. Primary liver cancer: often a history of hepatitis or cirrhosis of the liver, serum alpha-fetoprotein-positive, first, hepatomegaly, jaundice in the late, abdominal pain due to postural changes do not change, ultrasound and radionuclide scans can be found in the liver accounted for bit lesions.
5. Acute and chronic pancreatitis: Acute pancreatitis are excessive eating or drinking more than a history of rapid-onset disease, blood leukocytes, amylase increase. Pancreatic mass can occur with chronic pancreatitis (pseudocyst), and jaundice, resembles pancreatic cancer, but pancreatic cancer, deep pressure pancreatic duct can also be caused by chronic inflammation of the surrounding tissue. Abdominal X-ray calcifications found in the pancreas help in the diagnosis of chronic pancreatitis in some cases were also sometimes difficult to identify a variety of checks, you can laparotomy for the pancreas using fine needle biopsy to help identify.
6. Periampullary cancer: pancreatic head cancer, periampullary cancer than rare, more than from a sudden illness, there are jaundice, weight loss, Pi Yang, gastrointestinal bleeding and other symptoms. The ampullary carcinoma polypoid protrusions began, cancer itself is soft and elastic texture, so the volatility caused by jaundice Changcheng; abdominal pain was not significant, often complicated by cholecystitis, recurrent chills and fever were more common. But both still difficult to identify, in conjunction with ultrasound and CT to improve the diagnosis rate. Ampullary cancer resection rate of 75%, and after 5-year survival rate higher than the head of pancreas cancer.
1. A variety of chronic stomach diseases: stomach disorders may have abdominal pain, but the more diet-related abdominal pain, jaundice, rare, X-ray barium meal examination and fiber endoscopy is not difficult to identify.
2. Jaundice hepatitis: since the beginning of the two easily confused, but the history of exposure to hepatitis, through the dynamic observation of serum transaminase increased early jaundice, jaundice more in 2 ~ 3 weeks after gradually subsided, serum alkaline phosphatase more is not high.
3. Cholelithiasis, cholecystitis: abdominal pain was episodic colic, acute onset of fever and white blood cells often have increased, jaundice subsided more in the short term or fluctuation, no significant weight loss.
4. Primary liver cancer: often a history of hepatitis or cirrhosis of the liver, serum alpha-fetoprotein-positive, first, hepatomegaly, jaundice in the late, abdominal pain due to postural changes do not change, ultrasound and radionuclide scans can be found in the liver accounted for bit lesions.
5. Acute and chronic pancreatitis: Acute pancreatitis are excessive eating or drinking more than a history of rapid-onset disease, blood leukocytes, amylase increase. Pancreatic mass can occur with chronic pancreatitis (pseudocyst), and jaundice, resembles pancreatic cancer, but pancreatic cancer, deep pressure pancreatic duct can also be caused by chronic inflammation of the surrounding tissue. Abdominal X-ray calcifications found in the pancreas help in the diagnosis of chronic pancreatitis in some cases were also sometimes difficult to identify a variety of checks, you can laparotomy for the pancreas using fine needle biopsy to help identify.
6. Periampullary cancer: pancreatic head cancer, periampullary cancer than rare, more than from a sudden illness, there are jaundice, weight loss, Pi Yang, gastrointestinal bleeding and other symptoms. The ampullary carcinoma polypoid protrusions began, cancer itself is soft and elastic texture, so the volatility caused by jaundice Changcheng; abdominal pain was not significant, often complicated by cholecystitis, recurrent chills and fever were more common. But both still difficult to identify, in conjunction with ultrasound and CT to improve the diagnosis rate. Ampullary cancer resection rate of 75%, and after 5-year survival rate higher than the head of pancreas cancer.
