Cancer Chinese Medicine Syndrome Characteristics

Background:The carcinoma of pancreas,mainly refers to pancreatic exocrine gland cancer,is one of the most common malignant tumor of digestive system.In recent years,the incidence and mortality of pancreatic cancer are on the increase trends.It is onset hidden passage,being less of symptoms and signs in particular.Only 10% patients can get the tumor resection by surgery.The relapse and transfer rate are remain high.The pancreatic cancer can encroach on the vascular and lymph nodes, and transfer to the liver,peritoneal,lung and the regional lymph node.Even the imaging checking being normal,the most patients' cancer cells have already been transfer to the liver.It is hard to diagnose,more difficult treatment,faster development and shorter survival time.The pancreatic cancer has been recognized as one of the most serious malignancy hazardous to human life and health.The 5-year recurrence rate is still as much as 1%-4%.It is no devoted description on the pancreatic cancer in Traditional Chinese Medicine.The syndrome differentiations are often mixed.The research is between on gender,age,cancer location,staging, the level of tumor markers,and complications of pancreatic cancer patients.It will illuminate the relationship of them.Objective:To study the characteristic of the pancreatic cancer patients' syndrome differentiations in Traditional Chinese Medicine.Methods:This study retrospectively analyzed the carcinoma of pancreas in patients (a total of 64 patients in this group) who are confirmed diagnosis at the Department of Tumor,Affiliated Hospital of Chinese traditional Medicine University of Beijing. The factors were dated and were assessedby spss16.0 software.(R×C) X~2 test was used to evaluate the relationship between them.Results:1.The high-frequency tongue color of the carcinoma of pancreas is dark red(31), the second is red(10),the third is dark and light-colored(9),and the next is light-colored(8).The high-frequency tongue fur is greasy whitish fur(18),the second is greasy yellowish fur(14),the third is thin and yellowish fur(9),being less of liquid fur(8),and the next is thin and whitish fur(7).The high-frequency pulse is taut and thready pulse(10),the second is deep and thready pulse(8),the third is taut and smooth pulse(6).2.The total of 64 patients in this group,38men(59%),26women(41%). No significant difference(P＞0.05 ) 3.The total of 64 patients in this group,the age of 40 to 69 is 33 persons and the age of 70 to 85 is 31persons.The syndrome of fluid retention in the interior and the deficiency syndrome of both qi and blood are significant difference(P＜0.05 );The other syndromes are no significant difference(P＞0.05).4.The total of 60 patients in this group,ⅠA-ⅡA stage 2 persons,ⅡB-Ⅲstage 9 persons,Ⅳstage 49 persons.RoundingⅠA-ⅡA stage 2 persons,the tumor staging between syndromes are significant difference(P＜0.01).5.The total of 51 patients in this group,the tumor at the head of the pancreas 14 persons,the tumor at the body and the tail of the pancreas 32 persons,the tumor at both head and tail of the pancreas 5persons.Rounding the last one,the cancer location between syndromes are significant difference(P＜0.05).6.The total of 64 patients in this group,the level of CEA has been increased 4 persons,the level of CA19-9 has been increased 13 persons,both level of CEA and CA19-9 have been increased 32 persons,both low of the level 3 persons. No significant difference(P＞0.05)7.The total of 60 patients in this group,cholelithiasis patients 13 persons(28%). The relationship of cholelithiasis patients and non- cholelithiasis patients of syndromes are significant difference(P＜0.05).8.The total of 63 patients in this group,the diabetes 13 persons before being diagnosed the carcinoma of pancreas,after being diagnosed the carcinoma of pancreas 40 persons' level of glucose in the blood being increased,10 persons' level of glucose in the blood are normal. No significant difference(P＞0.05)Conclusions:1.The high-frequency tongue color of the carcinoma of pancreas is dark red(45%), the second is red(14%),the third is dark and light-colored(12%),and the next is light-colored(11%).The high-frequency tongue fur is greasy whitish fur(25%), the second is greasy yellowish fur(20%),the third is thin and yellowish fur (13%),and being less of liquid fur(11%),and the next is thin and whitish fur (10%).The high-frequency pulse is taut and thready pulse(16%),the second is deep and thready pulse(12.5%),the third is taut and smooth pulse(9%).2.The relationship between gender,the level of tumor markers,the level of glucose in the blood and the syndromes are no significant difference(P＞0.05)3.The syndrome of fluid retention in the interior is particularly prevalent in the age below 69 years old;the deficiency syndrome of both qi and blood is particularly prevalent in the age over 69 years old.4.TheⅡB-Ⅲstage and theⅣstage of the syndromes are significant difference.5.The tumor at the head of the pancreas seems more heat syndrome than the tumor at the body and the tail of the pancreas.6.Cholelithiasis patients compared with non- cholelithiasis patients are caused by accumulation of dampness and heat in the interior,causing heat to fail to disperse out and dampness fail to be excreted.