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摘要


慢性胰臟炎與胰臟癌之鑑別診斷極為困難。本文報告一位42歲長期酗酒之男性病人,因反覆上腹痛及黃疸而住院,超音波與電腦斷層掃描檢查發現胰臟頭部腫大且有鈣化點,因懷疑胰臟癌而接受胰十二指腸切除術,病理診斷為慢性胰臟炎,並無癌細胞存在。本文除討論其鑑別診斷外,並探討慢性胰臟炎之致病原因與治療方式。

並列摘要


The differential diagnosis of chronic pancreatitis and pancreatic cancer was isua1ly difficult. A 42-year-old male patient, a victum of alcoholism, was admitted because of recurrent epigastralgia and jaundice. Ultrasonography and computed tomogrophy revealed swelling of pancreatic head with some calcifications. Whipple's operation was undertaken under the impression of pancreatic cancer. Pathology disclosed chronic pancreatitis without evidence of malignancy. The differential diagnosis, etiology, and modes of treatment of chronic pancreatitis were discussed in the paper.

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