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目的 :探究胰腺转移性肿瘤的诊断和治疗方法。方法 :将2015年04月至2016年03月我院收治的28例胰腺转移性肿瘤患者作为研究对象,其中原发性肺癌8例、胃癌6例、甲状腺癌4例、卵巢癌4例、黑色素瘤2例、直肠癌2例、肝癌2例;22例在CT或B超引导下进行穿刺活检,经细胞学检查确诊;6例进行术后组织病理学确诊。结果 :CT结果显示胰腺为单发或多发低密度结节;转移性病灶均表现为乏血管肿瘤,增强不明显;28例患者经过化疗(或放疗)及介入治疗后生存期为9~40个月,平均24.5个月。结论:胰腺转移性肿瘤无特异性临床特征和影像学资料;通过化疗(或放疗)及介入治疗对患者预后和提高生命质量有重要的意义。
Objective: To explore the diagnosis and treatment of pancreatic metastatic tumors. Methods: Twenty-eight patients with metastatic pancreatic cancer who were treated in our hospital from April 2015 to March 2016 were selected as study subjects. Among them, 8 were primary lung cancer, 6 were gastric cancer, 4 were thyroid cancer, 4 were ovarian cancer, 4 were melanin 2 cases of tumor, 2 cases of rectal cancer and 2 cases of liver cancer. Twenty-two cases underwent needle biopsy under the guidance of CT or B-ultrasound and confirmed by cytology. Six cases were confirmed histopathologically. Results: The results of CT showed that the pancreas was single or multiple low-density nodules. The metastatic lesions were all manifested as lack of vascular tumors, and the enhancement was insignificant. The survival time of 28 patients after chemotherapy or radiotherapy and interventional treatment was 9-40 Month, an average of 24.5 months. CONCLUSIONS: Pancreatic metastatic tumors have no specific clinical features and imaging data. It is of great significance for patients with prognosis and quality of life through chemotherapy (or radiotherapy) and interventional therapy.