青年人胰腺癌17例临床分析

目的:了解青年人胰腺癌的临床特点,提高早期诊断,减少误诊。方法:回顾性研究长海医院收治40岁以下的胰腺癌17例。结果:17例青年人胰腺癌患者中男12例,女5例,年龄23~40岁,胰头部5例(29.4%),胰体尾部10例(58.8%),全胰2例(11.8%)。误诊12例(70.8%),行根治术4例(23.5%)。结论:青年人胰腺癌起病隐匿,进展快,误诊率高,确诊多处于晚期,根治率低。

Clinical Analysis of Young Patients With Pancreatic Cancer

Objective:To determine the clinical characteristics of young patients with pancreatic cancer, in order to increase the rate of early diagnosis and minimize misdiagnosis. Methods:From 2000～2004 in Changhai hospital, 17 patients of pancreatic cancer whose ages were less than 40 years were involved in this study.Results:Among the 17 patients, there were 12 male and 5 female. They were ranging from 23 to 40 years old. 5 patients with pancreatic head cancer(29.4%),10 patients with pancreatic body/neck cancer(58.8%),2 patients with whole pancreatic cancer(11.8%). 12 were misdiagnosized, only 4 patients (23.5%) underwent curative resection.Conclusions:Pancreatic cancer in young patients develops fast and the rate of misdiagnosis is high. Moreover, they are usually definitely diagnosized in advanced stage with low resection rate.