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糖尿病罹患胰腺癌相关临床特征分析

陈晶波 金刚 周颖奇 宋彬 宋博 黄勤

重庆医学Issue(35):4940-4942,3.
重庆医学Issue(35):4940-4942,3.DOI:10.3969/j.issn.1671-8348.2015.35.013

糖尿病罹患胰腺癌相关临床特征分析

Related clinical characteristics of diabetes patients suffering from pancreatic cancer

陈晶波 1金刚 2周颖奇 3宋彬 3宋博 3黄勤3

作者信息

  • 1. 第二军医大学附属长海医院内分泌科,上海200433
  • 2. 武警福建省总队医院内三科,福州350003
  • 3. 第二军医大学附属长海医院普三科,上海200433
  • 折叠

摘要

Abstract

Objective To observe and analyze clinical characteristics of diabetes patients suffering from pancreatic cancer . Methods We recruited 107 cases of pancreatic cancer(66 without diabetes and 41 with diabetes) and 100 diabetes patients without pancreatic pancreas as control .Patients′ demographic information ,degree of tumor differentiation ,serum markers etc .were com‐pared in order to find out the relevant clinical features of diabetes patients suffering from pancreatic cancer .Results (1)Patients with pancreatic cancer mostly were middle‐aged males .55 .1% of them suffering from dysglycemia ,18(16 .8% ) and 41(38 .3% ) of whom had impaired fasting glucose and diabetes ,respectively .(2)Compared with their without diabetes counterparts ,pancreatic cancer with diabetes were more prone to be asymptomatic and weight loss(P< 0 .05) .(3)Compared with their without diabetes counterparts ,pancreatic cancer with diabetes had significantly higher levels of fasting blood glucose(FBG) andγ‐glutamyltranspep‐tidase(γ‐GT)(P<0 .05) .(4)When compared with diabetes control ,pancreatic cancer with diabetes were older and shorter duration and lower body mass index(BMI)(P<0 .05) .They were more prone to weight loss(P<0 .05) .Moreover ,serum CA19‐9 and CEA levels in them were significantly higher than those in the diabetes control(P<0 .05) .Conclusion Older age ,shorter duration ,low BMI are all risk factors for diabetes patients to develop pancreatic cancer .Being asymptomatic and weight loss are their clinical characteristics .CA19‐9 and CEA are both sensitive serum markers to detect pancreatic cancer patients with diabetes .

关键词

糖尿病/胰腺肿瘤/癌胚抗原

Key words

diabetes mellitus/pancreatic neoplasms/carcinoembrgonic antigen

分类

医药卫生

引用本文复制引用

陈晶波,金刚,周颖奇,宋彬,宋博,黄勤..糖尿病罹患胰腺癌相关临床特征分析[J].重庆医学,2015,(35):4940-4942,3.

基金项目

国家自然科学基金资助项目(30871198;81272665)。 ()

重庆医学

OA北大核心CSTPCD

1671-8348

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