Symptoms of pancreatic cystadenocarcinoma?

summary

Pancreatic cystadenocarcinoma also belongs to the proliferative cyst of the pancreas, which can be malignant from pancreatic cystadenoma. This disease is very rare in clinic, accounting for only 1% of pancreatic malignant tumors. The earliest reports on pancreatic cystadenocarcinoma were published in the German and American journals by Kaufman in 1911 and lichenstem in 1834 respectively. In 1963, Cullen found 17 cases of pancreatic cystadenocarcinoma in 2.4 million medical records in Mayo hospital. Up to 1984, there were only more than 100 cases of pancreatic cystadenocarcinoma reported in the medical literature all over the world by segesen. Now let's look at the symptoms of pancreatic cystadenocarcinoma.

Symptoms of pancreatic cystadenocarcinoma?

First, the main symptoms of pancreatic cystadenocarcinoma are upper and middle abdominal pain or low back pain, and upper abdominal mass. Abdominal pain is not severe, some patients are only full discomfort; Other symptoms may include loss of appetite, nausea, dyspepsia, weight loss, jaundice, etc. a few patients may have gastrointestinal bleeding; Some patients usually have no chief complaint, only in laparotomy or autopsy found the existence of this disease.

Second: abdominal mass like its size, small just can touch in the upper abdomen, large can fill the whole abdominal cavity, even into the pelvic cavity. Abdominal mass generally has no tenderness and can be cystic or firm. When the secondary intracapsular hemorrhage, the abdominal mass may increase suddenly, the abdominal pain aggravates, and the tenderness is obvious. Lai Chuanshan et al. Reported 6 cases of pancreatic cystic tumor in China. All of them were diagnosed as upper abdominal mass, abdominal pain or low back pain. Among them, 3 cases with unbearable low back pain were cystadenocarcinoma. When the tumor infiltrates or compresses the common bile duct, obstructive jaundice may appear.

Third, the symptoms and signs of pancreatic cystadenocarcinoma are nonspecific, especially in the stage of small mass, which often makes the clinical diagnosis difficult, so that many patients have symptoms for months or years, or even as long as 15 years. Becker et al. Reported that before the final diagnosis of pancreatic cystadenocarcinoma, the time of symptoms was 7 months to 11 years, with an average of 22 months.

matters needing attention

Avoid overeating, overeating, excessive drinking and high-fat diet. We should eat less or limit fatty meat, fish roe, brain marrow, greasy, fried and other indigestible food, and avoid spicy irritants such as onion, ginger, garlic and pepper, smoking and alcohol.