ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ TỤY TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Objectives: To describe the clinical, laboratory and imaging characteristics of the pancreatic cancer cases at the Institute of Oncology and Nuclear Medicine, Military Hospital 175. Patients and methods: Retrospective descriptive study on 66 patients was diagnosed pancreatic cancer at the Institute of Cancer and Nuclear Medicine - Military Hospital 175 from January 2020 to December 2023. Results: The study enrolled 66 patients (male/female = 2.3/1, mean age 62.1, mostly older than 60 years old (63.6%)). The main presenting symptoms was abdominal pain (75.8%), the average tumor size was 4.56 cm on the CT scan, the percentage of the head and tail pancreatic cancer cases was the same. The blood value of CA 19-9 greater than 35 U/ml was 82.8% of the presenting cases. 26 of the 66 cases had no histological proof, confirmed by CT scan imaging and elevated CA 19-9. Adenocarcinoma was the most common type of pancreatic cancer with 72.5% of the cases. 43 of the 66 patients had stage 4 pancreatic cancer (65.2%). Conclusion: Pancreatic cancer was the rapid - progressing cancer mostly seen in elderly 60 years old patients. The biopsy of the pancreatic tumor was difficult. The presenting cases were diagnosed at the late stage of the disease, which has poor prognosis.