cancer pancreatic final
DESCRIPTION
chirurgieTRANSCRIPT
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Cancerul pancreaticProf Eugen Bratucu
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Cancerul pancreatic
Factori de riscFumatulAlcoolulAlimentatiaExces lipideExces carne fript, prajitAfumaturi
Adenocarcinom, carcinoame ductaleTumori endocrineExocrin
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Semne clinice
Icter mecanicPruritVarsaturiDurereSemnul Courvoisier- TerrierSemne de HTP
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Paraclinic
BilirubinemieFosfataza alcalinaHipercolesterolemieGammaGTTransaminaze serice
Rasunet hepaticUrobilinogen crescutScaune acoliceCA 19-9CA 494
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ImagisticaEchografieCBIH dilatateCBP dilatata
EchoendoscopieERCP obstacol in coledocul inferiorColangio RMN harta cailor biliare intra si extrahepaticeCT masa tumorala pancreaticaColangiografia transparietohepatica (percutana)Arteriografie selectivaPunctie biopsie percutana
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Chirurgie radicalaDuodenopancreatectomia cefalicaSplenopancreatectomia caudala
Chirurgie paleativa restabilirea fluxului biliarColecisto-gastroanastomozaColecisto-duodenoanastomozaColecisto-jejunoanastomoza Gastro-jejunoanastomoza
Chirurgie endoscopica
Radiologie interventionalaTratament Stentare CBP