Recent Trends of the Treatment for Carcinomas of the Biliary Tract and Pancreas. A Report from an Institution in Gifu Pref.

VernacularTitle:岐阜県北部に於ける胆道すい悪性疾患に対する診断と治療の現況
Author: Tetsuya TAJIKA ; Nobuki KAMEOKA ; Jun MORIOKA ; Hiroshi OKAWA ; Masahiko KATO ; Toshikazu ONUMA
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 1994;42(5):1049-1055
CountryJapan
Language:Japanese
Abstract: During the 13-year period from 1979 Jan. to 1992 Apr., 93 patients with carcinomas of the biliary tract including the ampulla of Vater and the pancreas were surgically treated at Kumiai General Hospital in the northern Hida district of Gifu Prefecture. In these 93 patients, 31 were diagnosed as suffering from carcinomas of the extrahepatic bile duct; 19, gallbladder carcinomas; 5, carcinomas of the ampulla of Vater and 38, pancreatic carcinomas. But the majority of these patients were classified into the far-advanced stages in accordance with the Japanese stage classification. Resectability was 58.1% in carcinoma of the extrahepatic bile duct, 42.1% in gallbladder carcinoma, 100% in periampullary carcinoma and 31.5% in pancreatic carcinoma and their survival rates were discouragingly low. To improve the postoperative results, it should be advocated that early diagnosis and treatment are most important for biliary tract carcinoma of m and fm in pathological depth, gallbladder carcinoma of m and pm in depth and small pancreatic carcinoma smaller than 2 cm.