Summary of medical history? Male, 56 years old, with upper abdominal discomfort and jaundice for 3 months.
The plain scan of CT signs showed that the dome of the pancreatic head was obviously enlarged, with a size of about 40mm*30mm and uneven density. The pancreatic duct is dilated, about 8 mm, the common hepatic duct and bile duct inside and outside the liver above the head of the pancreas are moderately dilated, and the gallbladder is also obviously enlarged (Tu -4- 1A). Contrast-enhanced scanning showed that the pancreatic head mass had irregular enhancement in arterial phase (Figure 5-4- 1B), portal phase (Figure 5-4- 1C) and delayed phase (Figure 5-4- 1D), the dilated pancreatic duct was clearer, the fat space behind the pancreatic head disappeared, and the mass surrounded the abdomen.
CT assumed diagnosis of 1 pancreatic head cancer; 2 Other pancreatic tumors; 3 chronic pancreatitis.
Pathological diagnosis? Cancer of pancreatic head.
Primary pancreatic tumors can be divided into epithelial tumors and non-epithelial tumors. Epithelial tumors are common, among which ductal adenocarcinoma accounts for more than 82% of pancreatic tumors and 95% of pancreatic malignant tumors. About 60% of pancreatic cancer occurs in the head of the pancreas, 15% in the body of the pancreas, 5% in the tail of the pancreas, and 5%-20% of pancreatic cancer gradually invades the whole pancreas. 45% of pancreatic head cancers originated from the epithelium of the pancreatic duct adjacent to the internal segment of the common bile duct, located on the upper dorsal surface of the pancreatic head, and the rest of the tumors involved the ventral dorsal surface of Vater's kettle in the center of the pancreatic head, that is, located on the uncinate process. The former mainly blocks the common bile duct, while the latter may involve the main pancreatic duct, resulting in retention of cysts after obstruction, and even rupture of pancreatic duct branches to form pseudocysts. Adenocarcinoma involving the head of the pancreas is mostly 2.5-3.5cm in size, while pancreatic body cancer and pancreatic tail cancer are usually larger, with an average of about 5-7cm. The blood supply of tumor is not rich, but it may harden, and bleeding and necrosis are rare.
Essence of health care therapy: the crystallization of ancient basic and clinical research and the development of modern molecular biotechnology.
1, Jiawei Kaiwei Decoction can promote stomach qi and activate immunity.
2, yak tendon hard protein (yak? Tendon? ECM？ Collagen) rebuilds the matrix barrier (tumor encirclement) and inhibits the proliferation and migration of tumor cells.
3. Coarse grains. Low calorie reduces tumor congestion and tumor telangiectasia.
4. Don't eat after noon. Maintain gasification and phagocytosis (absorption of denatured and necrotic tumor cells).
5, freshly squeezed apple juice. Maintaining essential vitamins and antioxidant capacity is beneficial to better absorption of yak tendinous proteins.
6. Barefoot for one hour. Discharge is beneficial to regulate the balance of autonomic nervous function and reduce paraneoplastic syndrome.
7. Hold your breath. Regulate basal metabolic rate. Reduce the ability of tumor cells to use oxygen and improve paraneoplastic syndrome.
8, not afraid of death, will not die. Without desire, face everything with gratitude.
9, strictly abide by dietary taboos and health care. Unconditionally improve execution.
10, confident, persistent and patient. Objective, rational and optimistic.
1 1, expert consultation, timely communication service. Profession and details determine success or failure.