Læknablaðið - 15.04.1990, Side 9

LÆKNABLAÐIÐ
183
SUMMARY
A retrospective analysis was done on 68 patients
diagnosed to have carcinoma of the pancreas at the
Reykjavík City Hospital during the period 1974-
1983. Explorative laparotomy was most often
performed as a diagnostic procedure (89,7%). It
was not possible to evaluate the effect of new
diagnostic techniques such as ultrasonography,
computerized tomography and ERCP because they
were not available at the hospital until late in the
study period. The diagnosis was histologically
confirmed in 75% of the patients. The tumor was
most often located in the head of the pancreas
(42,5%). In 25% of the patients location of the
tumor was not reported or tumor margins could
not be determined within the gland. Metastasis
were diagnosed in 66,2% of the patients. The most
common treatment was pallative surgical bypass
of the biliary tract and/or gastro-jejunal bypass.
Mean survival of all patients was 6,4 months (192
days). One patient lived more than three years and
no patient was alive four years after diagnosis.
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