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One thousand two hundred and ten cases of pancreatic cancer collected from 63 major clinics in Japan were reviewed. Eight hundred and ninety three out of the 1210 cases were verified histologically. Resection was carried out in 38% of carcinomas of the head, 21% of the body and tail and 7% of the entire pancreas, and in 31% (274 cases) of total 893 cases.Carcinomas larger than 3.1cm were 85%, of which resectability was 25%, while carcinomas smaller than 3.0cm were 15%, of which resectability was 88%. In these small carcinomas, jaundice was recognized in 76% and symptoms in cases without jaundice were upper abdominal pain, nausea and vomiting, anorexia, palpable mass, general fatigue, back pain and emaciation. Percutaneous transhepatic cholangiography, endoscopic retrograde cholangiopancreatography and selective angiography were valuable to diagnose these small carcinoma.
財団法人日本消化器病学会の論文