胰腺癌是一种恶性程度很高的消化道恶性肿瘤,其临床特点是整个病程短、病情发展快和恶化迅速。具体情况如下:
Pancreatic cancer is a highly malignant tumor of the digestive tract, which is clinically characterized by a short course of disease, rapid disease development and rapid deterioration. The details are as follows:
腹痛(Abdominal Pain):
疼痛是胰腺癌的主要症状。除中腹或左上腹、右上腹部疼痛外,少数病例为左右下腹、脐周或全腹痛,甚至有睾丸痛,易与其他疾病相混淆。当癌累及内脏包膜、腹膜或腹膜后组织时,在相应部位可有压痛。
Pain is the main symptom of pancreatic cancer. In addition to pain in the middle, left upper, or right upper abdomen, a few cases may experience pain in the left and right lower abdomen, umbilical region, or the entire abdomen, and even testicular pain, which is easy to confuse with other diseases. When the cancer involves the visceral capsule, peritoneum, or retroperitoneal tissue, there may be tenderness in the corresponding area.
黄疸(Jaundice):
黄疸是胰腺癌重要症状。黄疸属于梗阻性,伴有小便深黄及陶土样大便,虽症状可以有轻微波动,但不可能完全消退。黄疸的暂时减轻,在早期与壶腹周围的炎症消退有关,晚期则由于侵入胆总管下端的肿瘤溃烂腐脱所致,有些胰腺癌病人晚期出现黄疸是由于肝转移所致。
Jaundice is an important symptom of pancreatic cancer. It is obstructive in nature, accompanied by dark yellow urine and clay-colored stools. Although the symptoms may fluctuate slightly, they cannot be completely resolved. The temporary relief of jaundice in the early stage is related to the resolution of inflammation around the ampulla of Vater, while in the late stage, it is caused by the necrosis and sloughing of the tumor invading the lower end of the common bile duct. In some patients with pancreatic cancer, jaundice in the late stage is due to liver metastasis.
消化道症状(Gastrointestinal Symptoms):
最多见的为食欲不振,恶心、呕吐,可有腹泻或便秘甚至黑便。食欲不振和胆总管下端及胰腺导管被肿瘤阻塞,胆汁和胰液不能进入十二指肠有关。胰腺的梗阻性慢性胰腺炎导致胰腺外分泌功能不良,也必然会影响食欲。少数病人出现梗阻性呕吐,约10%病人有严重便秘。胰腺癌也可发生上消化道出血,表现为呕血、黑便。
The most common gastrointestinal symptoms include loss of appetite, nausea, and vomiting, with possible diarrhea, constipation, or even melena. The loss of appetite is related to the obstruction of the lower end of the common bile duct and pancreatic duct by the tumor, preventing bile and pancreatic juice from entering the duodenum. Obstructive chronic pancreatitis caused by the tumor leads to impaired exocrine function of the pancreas, which inevitably affects appetite. A few patients experience obstructive vomiting, and about 10% of patients have severe constipation. Pancreatic cancer can also cause upper gastrointestinal bleeding, manifesting as hematemesis and melena.
消瘦、乏力(Weight Loss and Fatigue):
胰腺癌和其他癌不同,常在初期即有消瘦、乏力。
Unlike other cancers, pancreatic cancer often presents with weight loss and fatigue in the early stage.
腹部包块(Abdominal Mass):
胰腺在于后腹部,较难摸到。腹部包块系癌肿本身发展的结果,位于病变所在处,如已摸到肿块,多属进行期或晚期。
The pancreas is located in the posterior abdomen and is difficult to palpate. An abdominal mass is the result of the development of the cancer tumor itself, located at the site of the lesion. If a mass is palpable, it is mostly in the progressive or advanced stage.
症状性糖尿病(Symptomatic Diabetes):
少数病人起病的最初表现为糖尿病的症状,即在胰腺癌的症状出现以前,先患糖尿病,以至伴随的消瘦和体重下降被误为是糖尿病的表现。若长期患糖尿病的病人近来病情加重,或原来长期能控制病情的治疗措施变为无效,说明有可能在原有糖尿病的基础上又发生了胰腺癌。
A few patients initially present with symptoms of diabetes, i.e., they develop diabetes before the onset of pancreatic cancer symptoms, leading to accompanying weight loss and decreased body weight being misinterpreted as manifestations of diabetes. If a patient with long-standing diabetes experiences worsening of their condition recently, or if previously effective treatment measures become ineffective, it may indicate the development of pancreatic cancer on top of the existing diabetes.
血栓性静脉炎(Thrombophlebitis):
晚期胰腺癌患者出现游走性血栓性静脉炎或动脉血栓形成。
Patients with advanced pancreatic cancer may develop migratory thrombophlebitis or arterial thrombosis.
精神症状(Psychiatric Symptoms):
部分胰腺癌患者可表现焦虑、急躁、抑郁、个性改变等精神症状。
Some patients with pancreatic cancer may exhibit psychiatric symptoms such as anxiety, irritability, depression, and personality changes.
腹水(Ascites):
一般出现在胰腺癌的晚期,多为癌的腹膜浸润、扩散所致。腹水可能为血性或浆液性,晚期恶病质的低蛋白血症也可引起腹水。
Ascites generally occurs in the late stage of pancreatic cancer, mostly due to peritoneal infiltration and diffusion of the cancer. Ascites may be serosanguinous or serous, and it can also be caused by hypoproteinemia in advanced cachexia.
病例解析(Case Analysis)
患者信息:52岁,男性
诊断:7月确诊为胰腺癌,采取化疗手段,无明显效果,且副作用大。
治疗情况:同年九月开始化疗结合细胞免疫治疗辅助并用,经过4个月的治疗,可见肿瘤明显减小。
Patient Information:Male, 52 years old
Diagnosis:Diagnosed with pancreatic cancer in July and treated with chemotherapy, which showed no significant effect and had significant side effects.
Treatment Status:Starting from September of the same year, chemotherapy combined with cellular immunotherapy was used as an adjuvant treatment. After 4 months of treatment, a significant reduction in the tumor was observed.
治疗前后对比(Comparison Before and After Treatment):

经验分享:肿瘤患者在采取放、化疗的同时,结合NK细胞免疫治疗并用,会产生更好的效果。NK细胞可自动识别和杀伤肿瘤细胞,同时提高机体免疫力,减轻放、化疗副作用,提高患者生活质量。
Experience Sharing:Tumor patients who undergo radiotherapy and chemotherapy combined with NK cellular immunotherapy will achieve better results. NK cells can automatically recognize and kill tumor cells, while improving the body's immunity, reducing the side effects of radiotherapy and chemotherapy, and improving the patient's quality of life.
细胞免疫治疗在体外和动物模型的抗胰腺癌作用显示了良好的应用前景,且在临床治疗中也获得了可喜的成果,是胰腺癌治疗的研究热点。
The anti-pancreatic cancer effect of cellular immunotherapy in vitro and animal models has shown good application prospects, and gratifying results have also been obtained in clinical treatment, which is a research hotspot in the treatment of pancreatic cancer.