Problems in Diagnosis and Treatment of Pancreatic Cancer as Seen in the Au-topsy Findings: Pathological study of the mode of cancer spread, postoperative recurrence and intraoperative radiotherapy cases N. Goseki 1 1Department of Surgery, Tokyo Metropolitan Komagome Hospital pp.1215-1222
Published Date 1984/11/25
DOI https://doi.org/10.11477/mf.1403109557
  • Abstract
  • Look Inside

 The results obtained from a pathological study of the cancer spread, postoperative recurrence and intraoperative radiotherapy in 68 autopsy cases of pancreatic cancer were as follows :

 1) The study of pancreatic cancer was conducted by classifying the cases according to the location of the cancer; uncus, head, body and tail. Difference was seen in the mode of cancer spread and also in the clinical symptoms among the pancreatic cancers in each location. Especially, it was maintained that cancer in the uncus should be treated independently from the cancer in the head.

 2) There was no difference in the mode of cancer spread between postoperative recurrence or intraoperative radiotherapy cases and non-operated or nonintraoperative radiotherapy cases. Moreover, it suggested one side of difficulty of the surgical treatment, that is, all cases considered curative operation were performed through histological study of the resected specimen at operation have had retroperitoneal recurrence.

 3) By histological study of autopsy cases of intraoperative radiotherapy, it was suggested that cancer cells remained or regrew in the periphery of the radiotherapy field, which is a meaningful finding for evaluating intraoperative radiotherapy in the future.

Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院