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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