“癌症之王”确诊即晚期？这十个信号要警觉！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">胰腺癌<span style="color: black;">叫作</span>为“癌中之王”，</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">让<span style="color: black;">非常多</span>人闻之色变。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">为何</span>胰腺癌一<span style="color: black;">发掘</span><span style="color: black;">常常</span><span style="color: black;">便是</span>中晚期？</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">身体<span style="color: black;">显现</span><span style="color: black;">那些</span><span style="color: black;">反常</span>信号要<span style="color: black;">警觉</span>胰腺癌？</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">在平时应该<span style="color: black;">重视</span><span style="color: black;">那些</span>事项？</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">一块</span>来<span style="color: black;">瞧瞧</span>↓</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">胰腺癌，被<span style="color: black;">叫作</span>为</span><span style="color: black;"><strong style="color: blue;">“癌中之王”</strong></span><span style="color: black;">，是一种恶性程度很高的恶性肿瘤，胰腺癌的发病率在全世界呈逐年<span style="color: black;">提升</span>的趋势。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因为</span>胰腺所处的位置特殊，<span style="color: black;">非常多</span><span style="color: black;">病人</span><span style="color: black;">初期</span>症状不典型，等到<span style="color: black;">显现</span><span style="color: black;">病痛</span>等症状，确诊时已<span style="color: black;">处在</span>晚期，丧失了手术机会。大部分<span style="color: black;">病人</span>确诊后的<span style="color: black;">存活</span>期</span><span style="color: black;"><strong style="color: blue;">仅有1年<span style="color: black;">上下</span></strong></span><span style="color: black;">，这<span style="color: black;">亦</span>让胰腺癌有了“癌中之王”的<span style="color: black;">叫作</span>号。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">恶化程度高、难<span style="color: black;">发掘</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">胰腺癌有这3个发病特点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">除了<span style="color: black;">存活</span>率低外，胰腺癌相较于其他的消化道肿瘤发病率呈<span style="color: black;">显著</span><span style="color: black;">提升</span>趋势，且发病率和死亡率几乎持平。</span><span style="color: black;"><strong style="color: blue;">胰腺癌有3个发病特点：</strong></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">一是</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">起病隐匿</span></strong></span><span style="color: black;">，<span style="color: black;">初期</span>很可能没有任何症状或是<span style="color: black;">显现</span><span style="color: black;">有些</span>容易被误诊为消化道<span style="color: black;">反常</span>的表现，让人们忽略；</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">二是</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">胰腺藏于腹腔深处</span></strong></span><span style="color: black;">，<span style="color: black;">周边</span>存在有<span style="color: black;">非常多</span><span style="color: black;">要紧</span>的血管，这直接<span style="color: black;">引起</span>胰腺癌的手术切除率仅有20~30%；</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">三是胰腺癌属于</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">原发、先天耐药<span style="color: black;">疾患</span></span></strong></span><span style="color: black;">，<span style="color: black;">运用</span><span style="color: black;">药品</span>治疗的有效率很低。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">胰腺癌</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">初期</span>症状有<span style="color: black;">那些</span>？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">从临床经验来看，当胰腺<span style="color: black;">出现</span>癌变的时候，<span style="color: black;">一般</span>会<span style="color: black;">显现</span>以下10种症状：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">腹痛</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">1</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">腹痛<span style="color: black;">常常</span>是胰腺恶变后的首发症状，多<span style="color: black;">位置于</span>上腹部、脐周或右上腹，性质为绞痛，以及阵发性或<span style="color: black;">连续</span>性、进行性加重的钝痛，大多向腰背部放射。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">梗阻性黄疸</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">2</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span>胰头<span style="color: black;">出现</span>恶变时大多会<span style="color: black;">显现</span>黄疸，且<span style="color: black;">显现</span>时间早，属于阻塞性黄疸。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">随着时间推移，黄疸<span style="color: black;">逐步</span>加深，<span style="color: black;">伴同</span>有皮肤瘙痒、尿色如浓茶、粪便颜色如白陶土。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">体重<span style="color: black;">显著</span>下降</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">3</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>近期体重<span style="color: black;">忽然</span>下降超过10%，要<span style="color: black;">导致</span><span style="color: black;">重视</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q1.itc.cn/q_70/images03/20240331/7b2dc46cb9f0410e8f9ee4d0d3c459a6.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">血糖<span style="color: black;">忽然</span><span style="color: black;">上升</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">4</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">糖尿病的诱因<span style="color: black;">通常</span>有<span style="color: black;">长时间</span>偏甜<span style="color: black;">膳食</span>、<span style="color: black;">肥壮</span>合并血脂代谢<span style="color: black;">反常</span>、直系亲属糖尿病家族史等，但临床上<span style="color: black;">非常多</span>胰腺癌<span style="color: black;">病人</span>都有过<span style="color: black;">没</span>诱因的糖尿病病史。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此呢</span>，<span style="color: black;">针对</span>年龄超过50岁、<span style="color: black;">没</span><span style="color: black;">显著</span>诱因<span style="color: black;">显现</span>糖尿病症状者，均要<span style="color: black;">可疑</span>并排除胰腺病变。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">消化不良</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">5</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">显现</span>模糊不清、<span style="color: black;">无</span><span style="color: black;">源自</span>且迁延不愈的消化不良<span style="color: black;">关联</span>症状，如腹部胀气、腹部<span style="color: black;">病痛</span>、排便习惯改变等，<span style="color: black;">同期</span>胃肠镜<span style="color: black;">表示</span>胃肠道<span style="color: black;">没</span><span style="color: black;">显著</span><span style="color: black;">反常</span>的，那就要<span style="color: black;">思虑</span><span style="color: black;">可否</span>存在胰腺恶变了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">食欲不振</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">6</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>近期<span style="color: black;">显现</span>饭量减少，<span style="color: black;">乃至</span><span style="color: black;">无</span>一点胃口；饭后消化不太好，还总是想吐，并且一两周均未好转的<span style="color: black;">状况</span>，<span style="color: black;">必须</span>高度<span style="color: black;">警觉</span>胰腺功能<span style="color: black;">反常</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">脂肪泻</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">7</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">部分合并胰腺肿瘤的<span style="color: black;">病人</span>会有脂肪泻（又<span style="color: black;">叫作</span>脂肪吸收不良）、高血糖、尿糖、不喜油腻<span style="color: black;">膳食</span>等表现。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240331/098177c69420470da45d6f743aa97d22.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其中，脂肪泻是<span style="color: black;">因为</span>胰腺分泌的脂肪酶减少，<span style="color: black;">引起</span>脂肪未被消化，于是和粪便混合、排泄出来。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">自发性胰腺炎<span style="color: black;">爆发</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">8</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">自发性的胰腺炎<span style="color: black;">爆发</span>是胰腺癌<span style="color: black;">初期</span><span style="color: black;">要紧</span>症状之一，<span style="color: black;">因为</span>胰腺局部溃烂，可<span style="color: black;">导致</span>胆道感染，<span style="color: black;">引起</span>发热。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有<span style="color: black;">长时间</span>吸烟史的人，更易<span style="color: black;">显现</span>自发性胰腺炎。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240331/a962007af9274b18b424a9d1cb361c63.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">局部肢体浮肿</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">0</strong><strong style="color: blue;">9</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">胰腺癌<span style="color: black;">病人</span>中<span style="color: black;">大概</span>20%的人会<span style="color: black;">显现</span>四肢的血栓性静脉炎，多见于下肢，表现为局部肢体浮肿。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">淋巴结肿大</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">100</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">胰腺癌可<span style="color: black;">引起</span>淋巴结变大变硬，可在左锁骨上或直肠陷凹触摸到。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在<span style="color: black;">平常</span>生活中，<span style="color: black;">显现</span>以上部分症状时，切记<span style="color: black;">即时</span>就诊筛查病因。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">胰腺癌的高危<span style="color: black;">原因</span>有<span style="color: black;">那些</span>？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">满足以下任何一项<span style="color: black;">就可</span>认为存在胰腺癌患病<span style="color: black;">危害</span>：</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">年龄超过40岁且<span style="color: black;">显现</span>非特异性腹部症状。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">胰腺癌家族史。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">新发糖尿病，尤其是60岁以上<span style="color: black;">身患</span>非典型糖尿病或快速发展的胰岛素抵抗，且<span style="color: black;">没</span>家族史或<span style="color: black;">肥壮</span>症。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">慢性胰腺炎，<span style="color: black;">尤其</span>是伴有癌前病变。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">导管内乳头状黏液性肿瘤。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">家族性腺瘤性息肉病。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">良性<span style="color: black;">疾患</span>远端胃大部切除术，尤其是切除术后20年。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">有吸烟史、饮酒史或<span style="color: black;">长时间</span>接触有害化学物质。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">筛<span style="color: black;">查的项目可<span style="color: black;">包含</span>肿瘤标志物CA19-9<span style="color: black;">检测</span>，内镜超声、磁共振<span style="color: black;">影像</span>或磁共振胆胰管<span style="color: black;">影像</span>，必要时做穿刺活检来确诊。在未<span style="color: black;">发掘</span>病变的<span style="color: black;">状况</span>下进行每年一次的检测。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">胰腺癌，<span style="color: black;">怎样</span>预防？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1.切忌<span style="color: black;">长时间</span><span style="color: black;">海量</span>吃高脂肪、高蛋白、高糖食品。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">2.</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">多食<span style="color: black;">鲜嫩</span><span style="color: black;">果蔬</span>和蔬菜</span></strong></span><span style="color: black;">，<span style="color: black;">平常</span><span style="color: black;">膳食</span>需<span style="color: black;">重视</span>保持谷类、豆类、甘薯等粗粮的摄入，其中的维生素和微量元素可抗自由基和抗氧化，有利于防癌抗癌。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3.保持<span style="color: black;">摄食</span>规律。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">4.戒烟、不酗酒，</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">提倡饮茶</span></strong></span><span style="color: black;">，适量饮茶能够<span style="color: black;">加强</span>免疫功能和防癌。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5.工作中要做好防护，少接触萘胺和苯胺等有害化学物质。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">6.积极预防与治疗与胰腺癌<span style="color: black;">关联</span>的<span style="color: black;">疾患</span>，如慢性胰腺炎、胆囊炎、胆囊结石、糖尿病等。要清楚胰腺癌的预防知识，</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">提倡<span style="color: black;">定时</span>进行体检</span></strong></span><span style="color: black;">。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">7.</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">加强体育<span style="color: black;">熬炼</span></span></strong></span><span style="color: black;">，<span style="color: black;">加强</span>体质，避免<span style="color: black;">过重</span>和<span style="color: black;">肥壮</span>，保持良好<span style="color: black;">心情</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240331/37485089469542d392ce1611d8177aba.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">源自</span>：</span><span style="color: black;"><span style="color: black;">河南疾控、广东疾控</span></span></p>
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