老年胰腺癌临床诊治分析

目的：评估随访老年胰腺癌临床特点和诊治。方法：总结分析33例老年胰腺癌临床表现，诊断和治疗，随访至终点事件发生。结果：首发症状为腹痛者20例占总数的60％，无症状查体发现仅3例。肿瘤位于胰头部者17例(52％)。死亡30例，健存3例。生存时间为1～22个月，中位生存时间平均4．5月。生存期超过12个月者有3例。手术切除肿瘤者仅2例，6例应用健择化疗者，2例肿瘤有缩小达到部分缓解。结论：应重视提高老年胰腺癌诊治水平。进展期胰腺癌健择化疗有一定作用。

Analysis of clinical diagnosis and therapy in elderly patients with pancreatic cancer

Objective:To evaluate and investigate clinical chracterization and therapy in elderly patients with pancreatic cancer. Methods:Clinical manifestation, diagnosis and therapy in 33 elderly patients with pancreatic cancer were analized. End point was followed up. Results:Abdominal pain as first symptom of pancreatic cancer occurred in 20 cases (60%), non-symptom patients with pancreatic cancer occurred only in 3 cases. There were 17 cases in which tumors located in pancreatic head (52%). Among 33 patients, 30 cases were dead and 3 cases still alive. Survival time in these patients was from 1 month to 22 months. Mean survival time was 4.5 months. 3 patients were survival for over 12 months. There were 2 cases in which the tumor resection was performed surgically. Chemotherapy using gemcitabine was performed in 6 patients. There were 2 patients who had partial regression. Conclutions:It is important to pay attention to the diagnosis and therapy in elderly pancreatic cancer patients. Gemcitabine therapy can be used in advanced pancreatic cancer.