Problem description: I don’t like to eat some time before I feel bad digestion, chest tightness, panic, go to the county hospital to check the B-ultrasound and then improved to make an enhanced version of CT
Problem date: 2021-05-15
Patient information:Age: 66 years old Gender: Male
Problem analysis: Anorexia upper abdominal discomfort, duration not stated . CT of the abdomen showed that the head of the pancreas occupied space, and it was suspected of oppressing the opening of the bile duct and pancreatic duct, resulting in obstruction and dilation of the bile duct and pancreatic duct. Imaging suggests that cirrhosis may be accompanied by multiple liver cysts. It is planned to clarify the further diagnosis and treatment plan.
Guiding suggestions: 1) The diagnosis of pancreatic cancer is basically clear, and it is recommended to go to the general surgery or oncology department. 2) It is recommended to first ask the surgery to confirm whether there are indications for surgery. If it can be removed, surgically remove the tumor as soon as possible; if there is no indication for surgery, consider ERCP treatment in gastroenterology to relieve bile duct obstruction and improve the quality of life. 3) It is recommended to improve a series of auxiliary tests, such as blood routine, liver and kidney function, five hepatitis B, AFP, CA19-9, hepatitis C antibody, etc., to treat the cause of liver cirrhosis and also help relieve symptoms.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection