提醒公众！“癌王”胰腺癌，一发掘即晚期！医生：4个症状不是胃病，要注意
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">山西78岁的张阿姨，虽然年近八旬，平时除了颈椎不太好，身体没什么大毛病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">前段时间，张阿姨照镜子<span style="color: black;">发掘</span>自己<span style="color: black;">眼白泛黄</span>，<span style="color: black;">不外</span>心想<span style="color: black;">无</span>其他不适，她<span style="color: black;">亦</span>就没<span style="color: black;">留意</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">过了2周，女儿来看望张阿姨，一眼就<span style="color: black;">发掘</span>母亲不对劲——</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“妈，你的眼睛怎么这么黄？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“啊这个，有一段时间了。” </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“血压量了吗？有其他不舒服吗？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“正常的，<span style="color: black;">每日</span>都有吃药。<span style="color: black;">亦</span>没啥不舒服，就<span style="color: black;">皮肤还有点痒</span>……”女儿一听，便赶紧带张阿姨到忻州市人民医院<span style="color: black;">检测</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;">检测</span><span style="color: black;">发掘</span>胰头占位，胆红素超标</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>接诊后，<span style="color: black;">发掘</span>张阿姨<span style="color: black;">全身皮肤及巩膜黄染</span>，触诊<span style="color: black;">发掘</span>腹部平软，<span style="color: black;">无</span>包块。<span style="color: black;">大夫</span><span style="color: black;">意见</span>做腹部<span style="color: black;">彩超</span>和肝功能<span style="color: black;">检测</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">腹部彩超示胰头处低回声，有胰腺占位可能，且肝内外胆管及胰管扩张。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/T8jKpKPYk7ic0COq4Noeyfx7Ccder1TWdNawzoiciaWbDEmxjJ0hBhvFSlw5q7zuuqeqVLO8KSKsFqSbfJyCTeZgA/640?tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">更令人吃惊的是，肝功能报告单<span style="color: black;">表示</span>，<span style="color: black;">张阿姨<span style="color: black;">身体</span>总胆红素392.9umol/L（正常最高值19），直接胆红素236.8umol/L（正常最高值6.8），间接胆红素126.1umol/L（正常最高值17.1），</span>均超过正常指标。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝功能部分指标<span style="color: black;">亦</span>有<span style="color: black;">显著</span><span style="color: black;">反常</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">经<span style="color: black;">检测</span>，<span style="color: black;">大夫</span>初步诊断为胰头占位，梗阻性黄疽。并对张阿姨<span style="color: black;">行经皮肝穿刺胆道引流保肝，退黄治疗。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">胆红素<span style="color: black;">连续</span>不退，高度<span style="color: black;">可疑</span>胰腺癌</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1星期</span>后复查指标时，<span style="color: black;">大夫</span><span style="color: black;">发掘</span>张阿姨<span style="color: black;">胆红素仍然<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;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" 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;">思虑</span>到张阿姨的肿瘤标志物检测中，CEA癌胚抗原有<span style="color: black;">上升</span>，于是，该院<span style="color: black;">大夫</span>与北京大学肿瘤医院肿瘤内科<span style="color: black;">专家</span>医师陆明就张阿姨病情进行会诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" 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;">认识</span>张阿姨病情后，陆<span style="color: black;">专家</span><span style="color: black;">暗示</span>，张阿姨的影像<span style="color: black;">符合胰腺癌表现</span>，但肿瘤标志物中的CA199指标并不高，确诊<span style="color: black;">必须</span>进行穿刺活检。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">陆<span style="color: black;">专家</span>认为，<span style="color: black;">思虑</span>到病人年龄大，如家属同意，<span style="color: black;"><span style="color: black;">能够</span>先按胰腺癌<span style="color: black;">实验</span>性治疗，局部放疗首选，口服替吉奥次选，但<span style="color: black;">必须</span><span style="color: black;">病人</span>的胆红素接近正常。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>，张阿姨仍在<span style="color: black;">连续</span>治疗中。</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;">1、</span>胰腺癌是“癌中之王”，症状<span style="color: black;">没</span>特异性</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症，是人人谈而色变的一个词。然而，一说到胰腺癌，其他癌症都要靠边站，<span style="color: black;">由于</span>胰腺癌有一个令人惊恐的<span style="color: black;">叫作</span>号“癌中之王”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上世纪70年代，胰腺癌的<span style="color: black;">存活</span>率仅为2.5%。40年后，医学水平飞速<span style="color: black;">加强</span>，胰腺癌的<span style="color: black;">存活</span>率还是<span style="color: black;">仅有</span>8.2%。中国国家癌症中心的统计数据<span style="color: black;">显示</span>，近年来，胰腺癌的发病率和死亡率逐年<span style="color: black;">提升</span>，<span style="color: black;">有3/4的胰腺癌<span style="color: black;">病人</span>在确诊的一年内死亡。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2015年，我国男性胰腺癌的发病率和死亡率分别为52.2/10万、45.6/10万，女性胰腺癌的发病率和死亡率分别为37.9/10万、33.8/10万。就连医疗水平领先世界的美国，<span style="color: black;">亦</span>没能逃过胰腺癌的魔咒。据统计，胰腺癌位列癌症<span style="color: black;">关联</span>死亡的第4位。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在我国，胰腺癌有“三高三低”的说法。“三高”<span style="color: black;">指的是</span>发病率逐年<span style="color: black;">升高</span>、术后复发率高、死亡率高，“三低”<span style="color: black;">指的是</span><span style="color: black;">初期</span>诊断率低、手术切除率低、<span style="color: black;">药品</span>有效率低。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">专家认为，胰腺癌<span style="color: black;">作为</span>“癌症之王”的<span style="color: black;">原由</span>，不外乎以下几种：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一是胰腺是人体腹膜后位器官，位置较深，体积较小，连<span style="color: black;">彩超</span>都<span style="color: black;">难以探查到<span style="color: black;">初期</span>直径较小的胰腺肿瘤</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">二是胰腺癌<span style="color: black;">重点</span>表现为<span style="color: black;">非特异性症状</span>，即使<span style="color: black;">显现</span>腹痛、背痛、恶心、呕吐、消化不良、大便<span style="color: black;">反常</span>等症状，<span style="color: black;">亦</span>很容易被误以为是其他<span style="color: black;">疾患</span><span style="color: black;">导致</span>的。<span style="color: black;">况且</span>对症治疗之后，这些症状都能得到缓解，<span style="color: black;">这般</span>就延误了最佳诊断与治疗的时间。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">三是胰腺<span style="color: black;">周边</span>血运丰富、分支众多，再加上血流方向不定，<span style="color: black;"><span style="color: black;">更易</span><span style="color: black;">出现</span>转移。</span>在<span style="color: black;">初期</span>，胰腺癌就有可能<span style="color: black;">出现</span>了血行转移，<span style="color: black;">况且</span>转移方向多变，难以<span style="color: black;">掌控</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">四是<span style="color: black;">胰腺癌治疗缺乏靶向<span style="color: black;">药品</span></span>，胰腺癌中最<span style="color: black;">平常</span>的是KRAS基因突变，80%以上<span style="color: black;">病人</span>都携带这个突变。遗憾的是，<span style="color: black;">日前</span>针对KRAS的靶向药还<span style="color: black;">无</span>被成功<span style="color: black;">研发</span>出来。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以上4种<span style="color: black;">原由</span>，<span style="color: black;">引起</span>胰腺癌<span style="color: black;">通常</span><span style="color: black;">发掘</span>的时候就<span style="color: black;">已然</span>是晚期，基本诊断的时候<span style="color: black;">已然</span><span style="color: black;">出现</span>转移。<span style="color: black;">因此</span>，<span style="color: black;">即时</span><span style="color: black;">发掘</span>胰腺癌的<span style="color: black;">初期</span>症状，就<span style="color: black;">能够</span><span style="color: black;">得到</span>主动权。</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>这些症状都可能指向胰腺癌，合并<span style="color: black;">显现</span>需<span style="color: black;">警觉</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">平常</span>的症状<span style="color: black;">包含</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">腹痛、背痛，</span>身<span style="color: black;">身体</span>部或胰腺尾部的癌症会挤压<span style="color: black;">周边</span>的器官，<span style="color: black;">导致</span><span style="color: black;">病痛</span>。当肿瘤扩散到胰腺<span style="color: black;">周边</span>的神经时，还会<span style="color: black;">导致</span>背痛。</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;">体积</span>便<span style="color: black;">反常</span></span>，<span style="color: black;">详细</span>表现为小便发黑、大便油腻，<span style="color: black;">由于</span>当肝脏生成的胆红素在血液里堆积时，就会使尿液发黑。当肿瘤阻塞胆管时，大便就会呈泥土色，比较油腻。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">皮肤、眼睛发黄，</span>这是胰腺头部的癌症阻断胆管，阻止胆汁到达有助于分解脂肪的肠道，<span style="color: black;">导致</span>胆汁积聚<span style="color: black;">导致</span>的黄疸现象。</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;">显现</span>不明<span style="color: black;">原由</span>的体重减轻</span>，明明<span style="color: black;">无</span><span style="color: black;">能够</span>节食，体重却在<span style="color: black;">短期</span>内大幅度下降，可能是胰腺癌<span style="color: black;">导致</span>恶心、呕吐，<span style="color: black;">导致</span>消化不良、食欲不振<span style="color: black;">导致</span>的。<span style="color: black;">同期</span><span style="color: black;">身体</span>的癌细胞<span style="color: black;">亦</span>会与正常的细胞抢夺营养，<span style="color: black;">导致</span>机体营养不良，<span style="color: black;">显现</span>消瘦。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不管<span style="color: black;">最后</span>是不是胰腺癌，<span style="color: black;">倘若</span>身体<span style="color: black;">显现</span>多种<span style="color: black;">反常</span>，都要<span style="color: black;">即时</span>就诊，<span style="color: black;">以避免</span>延误病情。</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;">3、</span>预防：高危人群需半年体检一次</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">面对“癌症之王”，<span style="color: black;">咱们</span>并非束手<span style="color: black;">没</span>策。<span style="color: black;">针对</span><span style="color: black;">年龄在40岁以上的中老年男性、急性和慢性胰腺炎<span style="color: black;">病人</span>、胆结石<span style="color: black;">病人</span>、<span style="color: black;">长时间</span>吸烟酗酒的人群、<span style="color: black;">过重</span>和<span style="color: black;">肥壮</span>人群、有胰腺癌家族史人群</span>等胰腺癌高危人群<span style="color: black;">来讲</span>，<span style="color: black;">意见</span>每半年进行一次<span style="color: black;">CT或MR<span style="color: black;">检测</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" 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;">另外</span>，还要<span style="color: black;">戒烟限酒，提倡清淡<span style="color: black;">膳食</span></span>，多吃禽类、鱼虾类和白菜、萝卜、西兰花等蔬菜，更要<span style="color: black;">保持</span><span style="color: black;">熬炼</span>，<span style="color: black;">加强</span>机体抗病能力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>，胰腺癌的5年<span style="color: black;">存活</span>率不到9%，是预后最差的恶性肿瘤之一。<span style="color: black;">因此</span>，<span style="color: black;">咱们</span><span style="color: black;">必定</span><span style="color: black;">不可</span>放松<span style="color: black;">警觉</span>，积极做好预防工作，防患于未然。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">注：<span style="color: black;">没</span>论您有多忙，请花1秒钟的时间把它放到你的圈子里！可能您的家人和<span style="color: black;">伴侣</span>就<span style="color: black;">必须</span>！谢谢！</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">声明：本文内容及<span style="color: black;">照片</span>均<span style="color: black;">源自</span>网络，<span style="color: black;">所有</span>转载，内容未经核实，如有问题，请联系<span style="color: black;">咱们</span>删除。</span></p>
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