BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 黄疸
  • 非特异性上腹痛或不适
  • 体重减轻和厌食

其他诊断因素

  • 年龄:65-75岁
  • 年龄:65-75岁
  • 脂肪泻
  • 口渴、多尿、夜尿,以及体重下降

危险因素

  • 吸烟
  • 胰腺癌家族史
  • 其他遗传性癌症综合征
  • 散发慢性胰腺炎

诊断性检查

首要检查

  • 腹部超声
  • 胰腺 CT
  • 肝功能检查 (LFT)
全部具体信息

需要考虑的检查

  • 凝血酶原时间 (PT)
  • 全血细胞计数 (FBC)
  • 癌抗原 (CA) 19-9 生物标志物
  • 正电子发射计算机断层扫描
全部具体信息

治疗流程

贡献者

Professor of Liver and Pancreas Surgery

Barts Cancer Institute

Barts and The London School of Medicine and Dentistry

London

UK

利益冲突披露
HMK is an author of a number of references cited in this topic. HMK has received trial funding from Celgene and advisory board honorarium from Baxalta Inc.

Dr Hemant M. Kocher wishes to gratefully acknowledge Dr Fieke E.M. Froeling, a previous contributor to this topic. FEMF is an author of a reference cited in this topic.

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Consultant Pancreatic Surgeon

West of Scotland Pancreatic Unit

Glasgow Royal Infirmary

Glasgow

UK

利益冲突披露
Not disclosed.

Assistant Professor of Oncology

Roswell Park Cancer Institute

Buffalo

NY

利益冲突披露
NIK has received funding for the conduction of clinical trials and associated translational studies from Merck, Pfizer, and Astra-Zeneca. NIK has a grant from the National Comprehensive Cancer Network (from research support by Roche).

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