PANCREATIC CANCER

Exocrine Cancer; Pancreatic Adenocarcinoma; Pancreatic Carcinoma

Pancreatic Cancer occurs when cells of the pancreas grow abnormally to form a tumor. The malignant (cancer) cells form in the tissues of the pancreas. Most pancreatic cancers begin in the ducts that carry pancreatic juices. The digestive juices are produced by exocrine pancreas cells and the hormones are produced by endocrine pancreas cells. About 95% of pancreatic cancers begin in exocrine cells.

Diagnostic testing: To determine extent of disease the following may be done:

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  Physical exam;

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  Lab tests including blood, urine, and stool samples to check for bilirubin and other substances,;

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  CT scan;

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  MRI scan;

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  Ultrasonography: transabdominal ultrasound or endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), and laparoscopy.

Diagnosis is made on pathological review of a biopsy specimen.

Physical findings: Symptoms of this disease may include:

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  Pain in the upper abdomen or upper back;

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  Yellow skin and eyes, and dark urine from jaundice;

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  Weakness;

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  Loss of appetite;

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  Nausea and vomiting, and

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  Weight loss.

ICD-9: 157.3, V18.11, V84.81

Although rare, Pancreatic Cancer can be cured only when it is found at an early stage, before it has spread. However, other treatments may be able to control the disease and help patients live longer and feel better.

Pancreatic Cancer may have several treatment options. Depending on the type and stage, before it has spread. However, other treatments may be able to control the disease and help patients and their doctors choose palliative therapy.