PANCREATIC CANCER: IN TRANG HOSPITAL 2001-2004
Keywords:
pancreatic cancer, pancreatic adenocarcinomaAbstract
Pancreatic adenocarcinoma is the second most common cause of death from cancer of the gastrointestinal tract. Due to the absence of early signs or symptoms, many patients were diagnosed after the cancer is too advanced for surgical removal.
Demographic data, clinical presentation, sonography and computed tomography (CT) features of eight patients with pancreatic cancer, diagnosed in Trang Hospital between January 2001 and December 2004 were reviewed.
The patients were five men and three women with age ranging from 32 to 77 years old (mean age, 51.4 years). All patients presented with obstructive jaundice. All of the cases, the cancer were localized to the head of the pancreas. Direct visualization of the tumor by sonography was about 83% and by CT was 100% Six cases (75%) were hypovascular masses. Dilatation of both the pancreatic duct and the biliary ducts were observed in all patients by CT. All cancer were unresectable due to vascular encasement. Three cases (37.5%) had liver metastases.
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