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KMID : 0352419920110020279
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Keimyung Medical Journal
1992 Volume.11 No. 2 p.279 ~ p.286
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Clinical Study of the Pancreatic Cancer
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Abstract
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Carcinoma of the pancreas is increasing in frequency and its prognosis is still poor in spite of several method and advancement of surgical treatment.
Fifty cases of pancreatic cancer were reviewed from 1984 to 1991 and results were as follows;
Carcinoma of the pancreas was seen most commonly in the age group of 50s and 60s and this group occupied 78% entire group. of a total of 50 patients 34 was male. 16 was female and male to female ratio was 2.1 :1.
Among the clinical symptoms pain was the most common (82%) followed by jaundice and weight loss.
Eight four percent (42 cases) of the patients visited hospital in 6 months after lirst attack of symptoms.
CT was the most useful diagnostic tool and its accuracy was 80% and other diagnostic methods utilized include US, ERCP, PTC and etc.
preoperative diagnosis were pancreatic head cancer (31 cases), body & tail cancer (9 cases) and others were CBD cancer, periampullary cancer, chronic pancreatitis and etc.
Resection was performed in 14 cases (28%) and bypass was done in 17 cases(34%). Only biopsy was carried out in 14 cases (28%)
The incidence of postoperative complication was 20%(10/50) and wound infection was the most common
The most common histologic type was ductal adenocarcinoma(84.4%) followed by undifferentiated carcinoma, and islet cell tumor.
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