Expert brief introduction:

Zhang Sheng Taoism is awarded, shanghai Ruijin hospital is taught personally eventually, digest strong point of surgical research reputation. Come 50 years from cure, in bravery path surgery pancreatic and surgical respect made crackajack contribution, drove our country to weigh the development that surgery of disease acute pancreatitis treats, be judged to be countrywide sanitation and educational system for many times advanced worker.

Peng Chenghong is taught, chairman doctor, vice director of surgery of general of Shanghai Ruijin hospital. Pursue surgical and clinical job 20 one's remaining years, have rich surgical and clinical make a diagnosis and give treatment to cancer of cancer of the liver, pancreatic tumour, bile duct experience. Publish a paper in recent years more than 40, obtain technology of 2001 year country to invent second-class award.

Mention when us " the king of cancer " pancreatic cancer when, a lot of people can feel terrifying. Because once got this disease, a lot of people can consider as Azrael to be given out to them " invite " . Be based on now for our medical treatment condition, have better idea to you can treat pancreatic cancer? How should be again the inchoate symptom that discovers pancreatic cancer? We ask an expert to introduce a few common issues of pancreatic cancer below.

Between numerous cancer, is pancreatic cancer occupied in a what kind of position?

It is rising to our harm, platoon of position of pancreatic before cancer is in the 20th, had risen to the 8th now. The harm sex that shows pair of people also is increasing.

These a few years, everybody often may hear pancreatic cancer, don't a lot of friends understand this pancreatic cancer to be opposite after all too what kind of harm and influence can our body bring?

Pancreatic cancer is a disease with a malign very high rate, but it really very difficult inchoate discovery, the success that treats to the operation of pancreatic cancer is led very low, operation difficulty is very great also; Although the operation succeeded, the effect that later period lives compares the difference after common tumor method, produce very great harm to person experience so so. In addition because be person of a few terminal and pancreatic carninomatosis, patient regular meeting gives ache, ache so that cannot sleep all night even, this is very big to the person's influence.

　　 Pancreas is after all among our human body, what kind of function and effect to produce?

Do not see it not quite, but it is our body inside very important peptic. It has two functions, the first exocrine function, the 2nd endocrine function, it secretes exocrine function, digest us adipose, digest our protein, it is it comes digestive. The 2nd endocrine function, it secretes pancreas islet always to adjust our blood sugar, so it is our body a very important peptic. If once this pancreas produces the word of the problem, invite our whole body likely endocrine happening is disorder.

Be to below what circumstance what just let pancreatic occurrence canceration is?

Dietary habit. The content that we have now is much, these things although itself is not a carcinogen, but it can make our pancreatic burden overweight, this appearance, it is right we socially a lot of a few elements that cause cancer are more sensitive, go up from the life now accordingly, from the environment, make it generate tumor.

　　 When why discovering pancreatic cancer, had a lot of patients been terminal?

Zhang Sheng: This is concerned from its special structure, it is at the back of the stomach, so a lot of defect think be a stomach is ill, it is on the side of bravery, a lot of defect think be bravery is ill. So this model dropped a lot of inchoate disease with respect to leakage examine.

　　 Does pancreatic cancer follow cholecystitis what is there to distinguish on the symptom? Why they two easy and promiscuous?

They two across is in a place, alternate place ached, because ached to often be in epigastrium, think of gallbladder easily. But have in fact different, cystic pain is a pain, and the pain of pancreatic cancer is persistent pain, because,the 2nd gallbladder aches is inflammation, inflammation is about to have a fever, but pancreas is not inflammation. These two are accordingly different, it is above cure also the situation is different, this cystic agnail hits antibiotic, it is good to was controlled. But you hit pancreas antibiotic won't be good, the element that at the same time you come on is different also, because you ate a thing to stimulate gallbladder, come on so. But differ with pancreatitis. Accordingly, although both the place that a lot of photographs are the same as, but want an analysis carefully, or not of just the same.

　　 Diabetic person contracts pancreatic cancer more easily?

Compared with normal person for, the diabetic became much the rate of machine contracting cancer of double.

　　 Does pancreatic cancer have immediate effect with liver?

Pancreatic cancer does not have immediate impact with liver, but often have a few pancreatic cancer however, as a result of the patient of pancreatic cancer, what appear first is icteric, so icteric patient often regards this as liver is ill, regard as even virus sex liver of infectivity is ill, hospital of contagion be goinged to. Arise easily in this respect so by accident examine.

　　 After getting pancreatic cancer, can you affect liver happening a few implement the change of qualitative sex?

Not be direct, it is its indirect effect, oppressed for example bile duct, appear icteric later, liver can be caused icteric, liver function also has change, albumen can reduce a few circumstances that wait a few liver a moment to damage to be able to appear.

　　 What does the inchoate symptom of pancreatic cancer have?

1, of unidentified reason on the abdomen aches, full bilge and dyspeptic

2, without painful sex icteric

3, unidentified reason weight drops

4, of not obvious reason diabetic

5, the adipose have diarrhoea of unidentified reason

6, the pancreatitis fit of unidentified reason

　　What means can we pass to check pancreatic cancer in the hospital now?

Check the method of pancreatic cancer, basically distribute a share now, one is the image learns to check, it is the B that we often say exceeds, resonance of CT, magnetism, still have better a few examinations, what B checks us to use more than is the commonnest, and it is endangered without what to human body, but B exceeds it to have a drawback, because of pancreas we a moment ago saw Tibet is in behind, a few gassiness are inside a few cavity are inchoate, and B exceeds diagnose be afraid that vital energy is more, one interference sees gas not clear, not likely is accurate, but if without gas interference is diagnosed,still be very accurate. If B exceeds discovery to have, you should check the place with specific Qing Dynasty further, clear size, follow the blood-vessel all round clearly a few relations, still should do a few good example helix CT these. Undertake scanning further, angiography is different period detect, can more a bit clearer, even some nature that can acknowledge pancreatic cancer. The 2nd respect is assay examination, blood test. Among them blood test is CI199 a the most commonly used, it is content of mark of a kind of tumour, got tumor patient this kind of material is compared in the content inside body tall, once produce this kind of material taller, should bring to sb's attention. I come up against a patient, he says, he passes assay to check namely, this CI cost is very high, but he thinks this may have what disease namely all the time, he is making an inspection, the possibility that considers pancreatic cancer is larger, return periodic to do B to exceed, CT, but do not have discovery all the time, but he is dogging all the time, see this CI199 is rising gradually, he or vigilance are taller and taller, crossed B to exceed next discovery probably finally pancreas body rear has a tumor really.

　　 It may not be a bad idea of a lot of family members, patient it may not be a bad idea, once diagnose is pancreatic cancer later, they are particularly strange, abandoned treating, after all is the patient had after all necessary will accept further treatment?

This is the move as the times, get progress as science, I think us this viewpoint should be changed, because thought pancreatic cancer is treated without method in the past, but progressed scientificly now, the operation progressed, medicaments progressed, anaesthesia progressed, we are treated each rise. For example just we inside that short, it is disastrous that a surgeon can open 10 one year, can be much now, how much is our excision rate previously, the pancreatic cancer that can excise 100 inside often be 5% with 3% , a lot of cut do not drop, can be now, all of us was being done generally, excision rate rose 20% to 30% , so everybody experience is much. The method of the 2nd excision also was improved, treatment is good, the person of our pancreas cancer can live only in the past a few months, can live one year now, 3 years, 5 years survival rate also had. Because this circumstance was improved greatly, accordingly we hope our patient must be treated correctly actively, do not escape. Surgical operation excision or method of best a treatment.

How we should prevent pancreatic cancer in daily life?

What pancreatic cancer prevents is crucial, it is the habits and customs with good nurturance. Want above all from adjust prandial structure to begin, prevent the happening of pancreatic cancer. Do not eat to scorch and take an examination of burnt food. Have the thing of tall fat, tall oil, much salt less as far as possible. Had this to be able to reduce the happening of the pancreatic cancer of 2/3 above at 2 o'clock. Prevent cancer everyday fresh scanty dish and fruit are indispensable, consider to discover, the risk that contracts pancreatic cancer is mixed as the fruit absorb the addition of the quantity vegetably and decrease. Kind of carotene and vitamin C are contained a lot ofin apple, orange, Hami melon, tomato, potato, cabbage, these antioxidant arise in OK and cleared metabolization raise free chance, reduce sicken risk. Enter a few proper physical strength activities next, avoid to exceed weight and fat. The 3rd life should have the law, some people work at ordinary times busy, a day of 3 eat are more informal, arrived holiday eats and drink too much, it is if really ever since, light person cause indigestion, the person that weigh causes acute pancreatitis, endanger life even, also plant for pancreatic cancer next hidden trouble.

Can pancreatitis become pancreatic cancer?

Pancreatitis won't become pancreatic of cancer, this is two different ideas. The problem is to have abdominal pain should go checking, gave what trouble after all, concern with pancreas, concern with pancreatic cancer, should check.

Actually cancer cell is among our body, hidden is very deep, be discovered very hard. It is so among our life, it may not be a bad idea of family of friend it may not be a bad idea, him it may not be a bad idea, should note the change of own body more, discover this danger in time.

(responsibility edits: Liu Zhenlong)