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胰腺癌是胃肠道常见的恶性肿瘤,由于大部分患者在确诊时,已有局部浸润或扩散,失去了手术切除的机会。因此,不能切除的晚期胰腺癌的治疗已成为一个难题。笔者将近年国内外有关局部难以切除的胰腺癌的治疗综述如下。 1 放射治疗 1.1 单纯放射治疗单纯放射治疗对不能切除的胰腺癌患者有可能改善愈后,起到姑息治疗作用。研究资料表明,放疗剂量<4000cGy,几乎无姑息治疗作用。Pilepich报道,应用5000cGy治疗,30%的患者可得到满意的姑息作
Pancreatic cancer is a common malignancy of the gastrointestinal tract. Since most patients have been diagnosed with local invasion or spread, they have lost the chance of surgical resection. Therefore, the treatment of unresectable advanced pancreatic cancer has become a problem. The author summarizes the treatment of local difficult-to-remove pancreatic cancer at home and abroad in recent years as follows. 1 Radiation Therapy 1.1 Radiation therapy alone is a palliative treatment for patients with unresectable pancreatic cancer. Research data show that radiotherapy doses <4000cGy, almost no palliative effect. Pilepich reported that 30% of patients can receive satisfactory palliative care with 5000cGy treatment