How is pancreatic cystadenocarcinoma diagnosed?

Update Date: 2023-10-21 Source: Network

summary

Now it's not uncommon to hear who has got what kind of cancer. Life is getting better and better, and the incidence of all kinds of cancer is also increasing. Some time ago, my best friend was diagnosed with pancreatic cystadenocarcinoma. Fortunately, after treatment, her condition has stabilized. Now let's talk about how to diagnose pancreatic cystadenocarcinoma.

How is pancreatic cystadenocarcinoma diagnosed?

First: examination items: abdominal plain film, upper gastrointestinal X-ray barium meal, abdominal CT, MDR gene detection, percutaneous transhepatic biliary drainage (PTD), ultrasonic diagnosis of pancreatic diseases, serous effusion cytology, fecal nitrogen, carcinoembryonic antigen (CEA), endoscopic retrograde cholangiopancreatography (ERCP), fecal muscle fiber, plasma free cortisol

Second, serum ca9-9 may be significantly increased in patients with cystadenocarcinoma, but decreased after surgical resection. Tumor recurrence and metastasis can be increased again. Ca9-9 can be used as an indicator of recurrence of cystadenocarcinoma after surgery. In patients with cystadenoma, serum CEA and ca9-9 were normal.

Third: the analysis of cystic fluid, preoperative or intraoperative aspiration of cystic fluid for enzymology, tumor markers and cytological examination has differential diagnostic value. The ways to obtain the cystic fluid include percutaneous fine needle aspiration under the guidance of B-ultrasound, intraoperative aspiration, duodenal aspiration during ERCP, and laparoscopy and aspiration.

matters needing attention

1. Eat less or limit fat meat, fish roe, brain marrow, greasy, fried and other indigestible food, avoid spicy stimulants such as onion, ginger, garlic and pepper, and avoid tobacco and alcohol. 2. The diet after pancreatic cancer surgery should be used to replenish qi and blood, strengthen spleen and stomach, such as glutinous rice, red beans, broad beans, yam, medlar, light vegetables, fig, hazelnut, milk, water chestnut powder, etc.