Posts Tagged ‘pancreatic iumors’

Pancreatic Tumors

Saturday, January 23rd, 2010

Tumors of the exocrine pancreas:
Generally poor prognosis.

  • 10% of digestive cancers.
  • Average age of onset.
  • 70 years for women.
  • 65 for men.
  • Promoting role of smoking and chronic pancreatic.

Pathologists:

  • 2 / 3: head of the pancreas.
  • 1 / 3: tail of the pancreas.
  • Rapid expansion in loco regional lymph nodes.
  • Adenocarcinoma.

Clinic.

  • Late discovery as long clinically silent
  • Cancer of the head: cholestatic jaundice.
  • Cancer of the body and tail:
    • Epigastric pain type transfixing
    • Impaired general condition.
    • Sometimes palpable epigastric mass

Imaging.

  • The ultrasound examination remains the first line, revealing a poorly defined hypo echoic mass, and to highlight liver metastases. As cites may also be disclosed and demonstrate a peritoneal carcinomas.
  • The echo-endoscopy is useful in diagnosing small tumors.
  • Scanner.
  • ERCP.

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