结论：初发临床体征为孤立性脉络膜病灶经证实为胰尾癌的报告鲜见。
CONCLUSION: There are few reports that demonstrate the significance of a solitary choroidal lesion as the initial clinical sign of cancer of the tail of the pancreas.
目的探讨胰体尾癌肝转移的外科治疗方法和预后的影响因素。
Objective To explore surgery therapy and the prognosis of pancreatic body and tail cancer with hepatic metastasis.
方法比较保留脾脏与切除脾脏的胰体尾癌术式的手术出血量、并发症发生率、患者细胞免疫功能、生存期。
Methods the operative blood loss, incidence of complication, cell immune function and survival time were compared between the Spleen-preserving Group and the Spleen Resection Group.
方法回顾性分析32例胰体尾癌肝转移病例的临床资料。
Methods The clinical data of 32 patients suffered from pancreatic body and tail cancer with hepatic metastasis who underwent operation were retrospectively analyzed.
结论积极行手术切除肿瘤是胰体尾癌肝转移患者获得长期生存的惟一途径，术中肝动脉栓塞化疗是治疗肝转移灶的重要方法。
Conclusion Radical resection is the unique method for long survival and hepatic arterial embolization chemotherapy in operation is an important way for hepatic metastasis.
根据本组经验认为高位胃体癌，全胃癌、多原发癌、残胃癌、胃底贲门癌应行全胃切除，术中肉眼判断癌已侵及浆膜层者宜行全胃合并脾胰尾切除。
The indications for total gastrectomy were cancer involving the whole stomach , the body, the cardia, the fundus, stump carcinoma as well as multiple primaries of the stomach.
根据本组经验认为高位胃体癌，全胃癌、多原发癌、残胃癌、胃底贲门癌应行全胃切除，术中肉眼判断癌已侵及浆膜层者宜行全胃合并脾胰尾切除。
The indications for total gastrectomy were cancer involving the whole stomach , the body, the cardia, the fundus, stump carcinoma as well as multiple primaries of the stomach.
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