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