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我院1960～1986年经手术和病理证实为胰腺癌182例,其中胰体尾癌60例(32.9%)。胰腺体尾癌入院前,后误诊为其他疾病50例,误诊率为83.3%。由于胰体癌临床表现复杂,诊断上有一定困难。为了从误诊病例中吸取教训,提高确诊率及手术切除率,本文着重就胰腺体尾癌误诊原因及与本病诊断有关的一些问题进行探讨。临床资料本组男性35例,女性15例,年龄最大70岁,最小23岁。误诊病种:误诊为慢性胰腺炎、胰源性腹泻、假性胰腺囊肿、慢性胆囊炎,肝胆管结石、胃癌、上消化道出血、结核性腹膜炎、腹膜后肿瘤、胆管癌各4例,环状胰腺、十二指肠憩室、十二指肠结核各2例,胃神经宫能症、传染性肝炎、十二指肠肿瘤、慢性萎缩性胃炎各1例。消化不良、上腹饱胀、打嗝50
In our hospital from 1960 to 1986, 182 cases of pancreatic cancer were confirmed by surgery and pathology, including 60 cases (32.9%) of pancreatic body and tail cancer. Pancreatic body and tail cancer were misdiagnosed as 50 other cases before admission and misdiagnosis. The misdiagnosis rate was 83.3%. Due to the complex clinical manifestations of pancreatic cancer, there are certain difficulties in diagnosis. In order to learn from the misdiagnosis cases and improve the diagnosis rate and surgical resection rate, this article focuses on the causes of misdiagnosis of pancreatic body and tail cancer and some problems related to the diagnosis of this disease. Clinical data The group of 35 males and 15 females, the oldest 70 years old, the youngest 23 years old. Misdiagnosis categories: misdiagnosed as chronic pancreatitis, pancreatic diarrhea, pseudopancreatic cyst, chronic cholecystitis, hepatolithiasis, gastric cancer, upper gastrointestinal bleeding, tuberculous peritonitis, retroperitoneal tumor, and bile duct cancer in 4 cases each. Pancreas, duodenal diverticulum, duodenal tuberculosis in 2 cases, gastric neuritis, infectious hepatitis, duodenal tumor, chronic atrophic gastritis in 1 case each. Indigestion, abdominal fullness, snoring 50