Pankreascancer
Senast uppdaterad: Senast reviderad:
Sakkunnig:Josef Sayegh
DEFINITION:
Det finns en rad olika histologiska typer och adenokarcinom är absolut vanligast och utgör mer än 90 %.
FÖREKOMST:
Genomsnittet har varit 1 152 nya fall per år under de senaste 20 åren.
SYMTOM:
Är till en början vaga och ospecifika, gulsot, buksmärta, viktnedgång och illamående.
KLINISKA FYND:
Gulsot och smärta i övre delen av buken och/eller ryggen tillsammans med ofrivillig viktnedgång kan ge misstanke enligt standardiserat vårdförlopp (RCC).
DIAGNOSTIK:
Akut (inom 24 timmar): ultraljud av lever, gallvägar och pankreas. Diagnosen ställs i regel med DT eller MR.
BEHANDLING:
Om tumören anses resektabel, är behandlingen kirurgisk.
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- Josef Sayegh, specialist i allmänmedicin, Stockholm
- Matthias Löhr, professor och överläkare, Gastrocentrum Kirurgi, Karolinska universitetssjukhuset