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Cancerul

pancreatic
Prof Eugen Bratucu
Cancerul pancreatic

Factori de risc
Fumatul
Alcoolul
Alimentatia
Exces lipide
Exces carne fript, prajit
Afumaturi


Adenocarcinom, carcinoame ductale
Tumori endocrine
Exocrin
Semne clinice

Icter mecanic
Prurit
Varsaturi
Durere
Semnul Courvoisier- Terrier
Semne de HTP
Paraclinic

Bilirubinemie
Fosfataza alcalina
Hipercolesterolemie
GammaGT
Transaminaze serice



Rasunet
hepatic
Urobilinogen crescut
Scaune acolice
CA 19-9
CA 494
Imagistica
Echografie
CBIH dilatate
CBP dilatata
Echoendoscopie
ERCP obstacol in coledocul inferior
Colangio RMN harta cailor biliare intra si extrahepatice
CT masa tumorala pancreatica
Colangiografia transparietohepatica (percutana)
Arteriografie selectiva
Punctie biopsie percutana

Chirurgie radicala
Duodenopancreatectomia cefalica
Splenopancreatectomia caudala

Chirurgie paleativa restabilirea fluxului biliar
Colecisto-gastroanastomoza
Colecisto-duodenoanastomoza
Colecisto-jejunoanastomoza
Gastro-jejunoanastomoza

Chirurgie endoscopica


Radiologie interventionala
Tratament
Stentare CBP

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