The diagnosis method of pancreas cancer

The researcher thinks 40 years old or 40 years old above have any following clinical performance of the patient should doubt to have a pancreas cancer:
The ① Geng Zu jaundice;
The ② will appear in the near future of can not the explained weight descend more than 10%;
The ③ will appear in the near future not construable top stomach or low back department ache;
Unclear and not and construable indigestion but the barium meal check digest way that the ④ will appear in the near future is normal;
The ⑤ sudden diabetes but again don't make of the factor of the outbreak, like family history, or is fat;
The fat Xie that the ⑥ bursts to explain;
The pancreatitis of⑦ self-moving goes into action.If the patient is the one who love smoke should be double to doubt.
(1)at the beginning should the diagnosis check choosing is a CT to scan.This kind of scanner doesn't depend on surgical operation and is free from the restriction of patient's figure and stomach and intestines way air, can make sure that the liver transfers the cooking stove, lymphoid pathological changes and surroundings blood vessel invasion, but not dependable to the diagnosis of the less than 2 cms damages or the peritoneum sub-footing stanzas.The CT can judge a patient the disease period of place, and provide information to the case that can not carry on surgical operation.If discover to there is the invasion that the distance transfer, closes to organ, the blood vessel is wrapped up or infringes upon, and lymphoid pathological changes then not ability surgical operation cut off tumor.However, the CT is to the diagnosis but not enough precision of tumor that can cut off.Can guide in the CT under carry on Be worn a sting to live check by the skin thin needle, because need certain histology diagnosis, particularly to not the patient of ability surgical operation is more important.
(2)the super voice check is lower than CT expenses and be easy to get, and it is thus clear that get to liver, liver inside and the bile duct tumor outside the liver, its sensitivity and particularity are more than 90%.Super voice wave the accuracy of the diagnosis be subjected to restriction of the technique of operating, patient plump figure and stomach and intestines way air.Usually, the super voice check is a CT to add a check to make use of.
(3)the nuclear magnetic resonance(MRI) isn't more more useful than CT in the aspects of confirming a pancreas cancer, it can not express to even have advantage, but be used as the expertise of this realm than the CT and see from the standpoint of development and will may rise a function in the future.
(4)treacherous acts Yi bile duct's building a shadow(ERCP) is making sure bile duct stone calculus, carry on diagnosis and obtain the organization of 12 bowels and pot belly cancer to live prosecutor noodles to the bile duct damage all specially useful.If discover to have the circumstance to compress or block-be called a pair of tubes diseases, can diagnose a small Yi head damage.When the pancreas malignant tumor exists, the portrait of pancreas hardly has the normal, can not the pancreas cancer cutting off generally have bile duct to extend, ERCP provides a basis for the possibility of 12 bowel nipple resections, and for inside the repair Shu position, can avoid surgical operation decompression like this.Insert under the help of super voice inside peep a mirror, in order to diagnose pancreas tumor to provide a new method, this technique provideds a possibility for the diagnosis in earlier period.
(5)can reach to 76%~90% in the CT or the super voice accuracy that guides the next thin needle to take out to absorb(FNA) a cytology check to the pancreas cancer diagnosis, its particularity almost can reach to 100%.While having no surgical operation to advertise for or would not liking to have an operation, regardless injure or transfer a focus to the Yi tail, Yi body, FNAs are all probably specially useful.