胰脏癌症状|25岁女肚痛求医 确诊胰脏癌2个月逝 医生揭4症状最高危 致命率达80%
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经常肚痛,可能是患上致命率极高的癌症?有医生分享病例指,一名25岁女子因肚痛求医,经检查后发现患上“癌王”胰脏癌,确诊2个月后就病逝。医生提醒,要小心4大高危症状,因可能是胰脏癌先兆,致命率可高达80%。
25岁女肚痛求医 确诊胰脏癌2个月逝
外科医生陈荣坚在节目《医师好辣》分享个案指,该名25岁女子因腹痛求医,进行电脑断层检查发现胰脏出现一个6cm的肿瘤,确诊为胰脏癌。当时患者与其家人也无法接受,所以将她转至医学中心,惟2个月后,家属申请诊断证明时表示,该名患者已过世。
胰脏癌常见症状
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陈医生解释,由于胰脏位于后腹腔,与许多重要血管相连,而且胰脏癌具有易转移的特性,因此癌细胞很快就能蔓延至其他部位。他指出,胰脏癌很难透过普通的身体检查发现,必须要进行电脑断层或磁振造影等更精密的检查。
胰脏癌在香港很常见。根据医管局资料,胰脏癌为香港第5位致命癌症,因为胰脏的恶性肿瘤生长速度缓慢,加上位置隐蔽,故此初期病征并不明显。许多患者到晚期才意识到自己患病,延误治疗。
胰脏癌致命率达80%? 4大症状最高危
陈荣坚医生表示,胰脏癌的致命率更高达80%,5年存活率约只有1成。虽然医学不断进步,但胰脏癌患者的存活率提升却有限。胰脏癌症状不明显,若胰脏肿块阻塞胆管,届时患者才可能会出现黄疸,症状也才比较容易被察觉。但若肿块生长在其他部位,可能一点症状都没有。
胰脏癌4种症状最危险
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陈医生表示,胰脏癌主要有4种症状,在出现以下症状之前,可能癌细胞已经在体内生长;当症状出现时,可能已发展至第2期或严重阶段。
胰脏癌主要症状包括:
- 腹痛
- 腹泻
- 黄疸
- 体重减轻
男子上腹痛两次检查没发现 确诊胰脏癌后半年过世
胰脏癌有多难以发现?肠胃科医生萧敦仁表示,由于胰脏内没有神经,症状也不明显。他分享另一宗病例指,一名50多岁男子因上腹疼痛求医,医生怀疑他是胃酸倒流,故为他进行胃镜检查。不过,却发现只有轻微的倒流问题,开服胃药后,症状未有改善。由于该男子本身患有大肠急躁症,医生也为他进行大肠镜检查,也没有发现。
根据医管局的数据,胰脏癌的成因还不完全清楚,但可能与胰脏细胞的异常增生有关。大多数的胰脏癌都是源于胰管上皮细胞的腺癌,有10类人发病率较高。
胰脏癌10大高风险人士
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后来,医生再为他进行超声波检查,发现看不见胰脏,腹部亦出现腹水,随即进行更详细的电脑断层检查。结果发现,该男子的胰脏尾部出现一个直径8cm的肿瘤,确诊晚期胰脏癌。进行手术时,更发现该男子腹腔里面竟然全是癌细胞,无法完全切除,最终于半年后过世。
萧敦仁医生提醒,若出现上腹痛等症状,并经过胃镜、肠镜等检查未能找出问题,且使用胃药2至4星期后症状也未见明显改善,有可能是胃以外器官,特别是胰脏可能出现问题。
预防胰脏癌5大方法 体重过高风险高?
医管局表示,尽管无法完全预防,不过改变一些生活方式,注意以下事项有助减低患胰脏癌风险。
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