2011年4月8日星期五

Possession of a small stomach, "Murder" can not be ignored

In recent years, Pavarotti, Lydia and other "heavyweight" star have died due to pancreatic cancer, pancreatic cancer has begun to attract attention.

Improved living standards, China has increased the incidence of pancreatic cancer, but the location of hidden pancreas, early pancreatic cancer symptoms are not typical, is not obvious, most patients have advanced stage disease when found, treatment is not ideal.

Experts suggest that long-term high-fat high-protein diet, smoking, alcohol and other groups should also be considered in the physical examination of pancreatic B-ultrasound.

Medical guidance, Guangzhou First People's Hospital of MD, medical director Nie Yuqiang

Inquiry Record: small stomach implied pancreatic cancer, "Murder"

Not long ago, Mr. Qin, 39, went into the hurried pace of the First People's Hospital of Guangzhou City, Department of Gastroenterology of the clinic. He put the laptop computer bag, a little fat physique, from the dress look like is in the fight in the cause type of man.

Mr. Qin: more than two months before the start often feel bloating, no appetite. I think it is because I usually dinner more often to drink, meat and fish, there is some small stomach to eat it.

Doctor: uncomfortable for two months, has not been to see a doctor?

Mr. Qin: busy with my business, so spare some time to start did not go to the hospital, and buy themselves some stomach to eat, not seen well. Later, in another hospital and did a endoscopy and found to be mild gastritis, eating more than a month the doctor prescribed medicine, it seems a little better. But I want to completely cure it, to come here to see the doctor.

Doctor: In addition to bloating and loss of appetite, are there any other symptoms? Such as that where the pain, or bowel changes?

Mr. Qin: usually hurt, that is sometimes sit, will feel some pain around the stomach.

Mr. Qin physical examination the abdomen doctors found that Mr. Qin's abdomen remains soft, that there is no obvious abnormality, but in the press to the body and tail of the pancreas when Mr. Qin will feel pain. Subsequent B-ultrasonic examination showed that the middle part of his pancreas slightly increased. Blood tumor marker CA199 are slightly higher, and many patients with gastrointestinal cancer may also increase this indicator.

For diagnosis, Mr. Qin has accepted the CT examination, found that there is indeed a problem of the pancreas body, but not yet identified as pancreatitis or pancreatic cancer. CT examination is more clearly brought bad news: Mr. Qin has a pancreatic tumor over 3 cm, and a slight liver metastasis has occurred.

Pancreas "hiding" in the stomach behind the

First People's Hospital of Guangzhou Nieyu Jiang, MD, medical director of introduction, the pancreas in the human body could be considered "quiet dedication" of the organ. First, because of its location so that hidden: The pancreas is a long and thin retroperitoneal organs, only two or three centimeters wide, pancreas and stomach, duodenum, liver, gallbladder and other organs adjacent to the positive side, "hide" in the behind the stomach, close to the back; from the rear, there are lumbar spine and other shelter. In the general physical examination, endoscopy, liver and gallbladder are common B-project, but few people would think of a B-according to the pancreas.

And that its "dedication" because the pancreas secretes pancreatic juice, containing several plays in the food digestion process "leading role" in the role of digestive enzymes, the digestion of fats is particularly important, in addition, endocrine cells in the pancreas secretes The hormone also regulates body physiology. If these cell disease, excessive or inadequate secretion of substances, the body will appear disease.

Bacheng pancreatic cancer has been found to late

In recent years, Pavarotti, Lydia and other "heavyweight" star have died due to pancreatic cancer, pancreatic cancer has begun to attract attention. However, a problem plagued the medical profession there is always: How early detection of pancreatic cancer? Nieyu Jiang said that the current diagnosis of pancreatic cancer mainly depends on imaging method, but because the location of hidden variable in the examination of early pancreatic cancer is difficult to be found, and the pancreas itself is not rich in nerve, early cancer does not cause pain, but also the lack of typical symptoms. Most patients only have loss of appetite, nausea, vomiting, abdominal pain when eating (the pancreas produces digestive enzymes induced by stimulation of the pancreatic duct) and other gastrointestinal symptoms, easily be mistaken for stomach. "Unless the tumor grew in and connected a bile duct, causing obstructive jaundice, early detection of these patients also possible, surgical excision of tumor. Or early pancreatic cancer is difficult to be found." Many patients only to the late tumor compression of the nerves around the pancreas, severe abdominal pain felt only to find the disease.

On the other hand, because the small width of the pancreas, peripheral vascular rich tumor is very easy to grow than the scope of the pancreas, metastasis to the surrounding organs. This makes pancreatic cancer "is hard to find, easy transfer" feature. Nieyu Jiang said that clinical identified pancreatic cancer, the disease has reached a Bacheng late, many patients find that the transfer when the tumor has already occurred, because pancreatic cancer is not sensitive to chemotherapy, the treatment effect is not very satisfactory, so the survival of these patients rarely more than six months. Therefore, pancreatic cancer is considered a highly malignant gastrointestinal tumors, according to statistics only 3% 5-year survival rate, the "cancer of the king," said.

Pancreas "tired" of the high-fat high-protein diet down

Nieyu Jiang said that due to different eating habits, the incidence of pancreatic cancer in China than in Western countries has been low, "but in recent years to improve the standard of living, our rate of increase of pancreatic cancer." He said that long-term high-fat, high protein diet is an important risk factor for pancreatic cancer. "Eat more, and the pancreas to secrete digestive enzymes to more;" work "more so, when the pancreatic cells in the division on the error-prone, resulting in cancer cells, if it continues long-term stimulation of the pancreas, these cells can not be human immune system to recognize, eliminate, it will form a tumor. "

In addition, smoking, alcohol consumption, obesity, diabetes is a risk factor for pancreatic cancer. Long time no treatment of chronic pancreatitis may also develop into pancreatic cancer. "But the medical profession on this point is controversial, because there may be some" chronic pancreatitis "is actually the early pancreatic cancer."

Because pancreatic cancer is difficult to early detection, risk factors Nieyu Jiang suggested the above as well as family history of people of people in there on a routine physical examination or abdominal discomfort, nausea, vomiting and other symptoms, in addition to doing other gastrointestinal examination, but also to be a B-ultrasound about the pancreas, liver and gallbladder conditions.

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