胰腺癌是较常见的消化系统肿瘤,近年来其发病率有明显增长趋势,仅次于胃、食管、肝和结直肠癌,早期诊断困难。笔者回顾分析了最后死于胰腺癌的16例中晚期胰腺癌患者的MRI检查资料,以期提高对该病的认识。 1 材料和方法 1.1 临床资料:16例中男性12例,女性4例,年龄48～74岁,平均61.7岁。临床表现为上腹不适、隐痛、胀痛或钝痛10例,其中2例伴有腰痛;尿黄、皮肤巩膜黄染7例;消瘦,明显体重下降3例;慢性腹泻1例;低热2个月后突发寒战高热1例;3例患者可扪及腹部包块;1例查血、尿淀粉酶升高;1例患者有长期慢性胰腺炎病史。所有患者均有不同 Pancreatic cancer is the most common digestive system tumor. The incidence of pancreatic cancer has increased significantly in recent years. It is second only to the stomach, esophagus, liver and colorectal cancer. Early diagnosis is difficult. The author retrospectively analyzed the MRI findings of 16 patients with advanced pancreatic cancer who died of pancreatic cancer in order to raise awareness of the disease. 1 Materials and Methods 1.1 Clinical data: 16 cases were 12 males and 4 females, aged 48 to 74 years, with an average of 61.7 years. The clinical manifestations were epigastric discomfort, dull pain, tenderness, or dull pain in 10 cases, of which 2 cases were associated with low back pain; urine yellow, yellow skin sclerosis in 7 cases; weight loss, significant weight loss in 3 cases; chronic diarrhea in 1 case; low fever 2 After one month, there was one case of sudden chills and high fever; 3 patients could have palpable abdominal masses; 1 patient had blood and urine amylase elevation; 1 patient had a long history of chronic pancreatitis. All patients are different