cancer pancreatic final

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chirurgie

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  • Cancerul pancreaticProf Eugen Bratucu

  • Cancerul pancreatic

    Factori de riscFumatulAlcoolulAlimentatiaExces lipideExces carne fript, prajitAfumaturi

    Adenocarcinom, carcinoame ductaleTumori endocrineExocrin

  • Semne clinice

    Icter mecanicPruritVarsaturiDurereSemnul Courvoisier- TerrierSemne de HTP

  • Paraclinic

    BilirubinemieFosfataza alcalinaHipercolesterolemieGammaGTTransaminaze serice

    Rasunet hepaticUrobilinogen crescutScaune acoliceCA 19-9CA 494

  • ImagisticaEchografieCBIH dilatateCBP dilatata

    EchoendoscopieERCP obstacol in coledocul inferiorColangio RMN harta cailor biliare intra si extrahepaticeCT masa tumorala pancreaticaColangiografia transparietohepatica (percutana)Arteriografie selectivaPunctie biopsie percutana

  • Chirurgie radicalaDuodenopancreatectomia cefalicaSplenopancreatectomia caudala

    Chirurgie paleativa restabilirea fluxului biliarColecisto-gastroanastomozaColecisto-duodenoanastomozaColecisto-jejunoanastomoza Gastro-jejunoanastomoza

    Chirurgie endoscopica

    Radiologie interventionalaTratament Stentare CBP

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