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Դ29/05/2010
Ѿഷ04/07/2023
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ԴԡѺӹµç 18 ˭˧

Ѻ Ѻͧ͢

Ѻӹ ´ԹҷзӡѺӹ

ǡѺ秵Ѻ͹

(ҹ 4469/ ͺ 2)

ع

ǡѺ秵Ѻ͹

кҴԷҢͧä

- Ȫҡ˭ԧ硹

- 㹤ҡ ͧͧҡ 65

- 㹪ҵԼǴҡҪҵԼǢ

- Դ adenocarcinoma ҡش

˵лѨ§

ѧ辺˵آͧäѴਹ蹡ѹ ջѨºҧҧҨǢͧ

- ٺ դ§ҡҤٺ֧ͧ

- ÷ҹ÷ Nitrosarmine compounds 觾դǢͧ˹

- ѵԤͺ秵Ѻ͹

ҡѡɳзǨ

ҡ÷ ˹ѡŴ Ǵͧ 繵 ҡҹШѺä ѧҨԹԨҪ ºҧҡõͧͧ Դҡǡ͹ҧԹӴդӶاӴҡҧ˹ҷͧ չӵʹԴ

õǨԹԨ·

1. õǨҧ·

2. еǨʹ Ǩ÷ӧҹͧѺ, õǨ CA 19-9

3. ͧͧҧ˹ҷͧͪԹԨ¢Ҵе˹觢ͧ͹

4. õѴ觵ǨҧҸԷ

5. ÷ͪ͡ԹԨк͡ͺࢵͧä ¡÷͡ (CT scan)

ͧͧö֧͡͡ʡüҵѴ СШѧͧ Ѻ

6. ÷ Endoscopic ultrasound ö㹡ԹԨä蹡ѹ

ѡ

üҵѴ 繡ѡѡͧ秪ԴѺäѧաШ աءѧʹ Superior mesenteric and portal vein , ֧ҨöҵѴªͧüҵѴѧ·ҧ õѴ 觵ǨҧҸԷҵ ͡Ŵҡͧͧ·Դҡ͹ѺҧԹӴ ¡üҵѴ¡ Choledochojejunostomy

éʧ ѵػʧ

- éѧա͹ҵѴ شʧŴҴͧ͹öҵѴ շѺպӺѴͩʧ§ҧ

- éʧѧҵѴ ѵҡäǺä੾зѵʹԵѺ

- éʧͧ 觷öҵѴ ç§ շ駡պӺѴ ͩʧҧ

- éʧͺҡ (Palliative radiation)

պӺѴ 繡ѡѺѧմѧǢҧ պӺѴ §ҧѡä¡üҵѴóշШ价 պӺѴͻФѺФͧä (Palliative chemotherapy) պҷӤѭ















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