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目的 :评估随访老年胰腺癌临床特点和诊治。方法 :总结分析 33例老年胰腺癌临床表现 ,诊断和治疗 ,随访至终点事件发生。结果 :首发症状为腹痛者 2 0例占总数的 6 0 % ,无症状查体发现仅 3例。肿瘤位于胰头部者 17例 (5 2 % )。死亡 30例 ,健存 3例。生存时间为 1～ 2 2个月 ,中位生存时间平均 4 .5月。生存期超过 12个月者有 3例。手术切除肿瘤者仅 2例 ,6例应用健择化疗者 ,2例肿瘤有缩小达到部分缓解。结论 :应重视提高老年胰腺癌诊治水平。进展期胰腺癌健择化疗有一定作用。
Objective: To evaluate the clinical features and diagnosis and treatment of elderly pancreatic cancer follow-up. Methods: The clinical manifestations, diagnosis and treatment of 33 elderly patients with pancreatic cancer were summarized and analyzed. The follow-up to the end point occurred. Results: The first symptom was 20% of abdominal pain accounted for 60% of the total, asymptomatic examination found only 3 cases. Tumors were located in the head of the pancreas in 17 cases (52%). 30 deaths, 3 patients survived. Survival time was 1-2 months, median survival time was 4.5 months on average. Survival of more than 12 months in 3 cases. Only 2 patients underwent surgical resection of the tumor, 6 patients underwent gemcitabine chemotherapy, and 2 patients achieved partial remission with the shrinkage of the tumor. Conclusion: Should pay attention to improve the diagnosis and treatment of elderly pancreatic cancer. Progressive pancreatic cancer chemotherapy has a role.