Pancreatic cancer overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Pancreatic cancer is a malignant tumour within the pancreatic gland.

About 95 percent of pancreatic tumors are adenocarcinomas (Template:ICDO). The remaining 5 percent include other tumors of the exocrine pancreas (e.g. serous cystadenomas), acinar cell cancers, and pancreatic neuroendocrine tumors (such as insulinomas, Template:ICDO, Template:ICDO). These tumors have a completely different diagnostic and therapeutic profile, and generally a more favorable prognosis.[1]

Risk Factors

Pancreatic cancer is associated to a number of predisposing risk factors such as age, gender, specific ethnicities, and environmental exposures.

Natural History, Complications and Prognosis

Depending on the extent of the tumor at the time of diagnosis, the prognosis is generally regarded as poor, with few victims still alive five years after diagnosis, and complete remission still extremely rare.[1]

Diagnosis

History and Symptoms

In the early stages of pancreatic cancer there are not many noticeable symptoms. As the disease progresses symptoms include jaundice, light-colored stools or dark urine, pain in the upper or middle abdomen and back, weight loss, loss of appetite and fatigue

Physical Examination

During physical examination, a clinician may find characteristics of pancreatic cancer in a patient. These include: pain,. weight loss, or jaundice.

Treatment

Medical Therapy

The selection of a treatment intervention depends largely on the disease progression and the patient's stage of cancer. Chemotherapy may be employed when surgical intervention is not deemed appropriate.

Surgery

The selection of a treatment intervention depends largely on the disease progression and the patient's stage of cancer. The most common surgical treatment for cancer involving the pancreas is theWhipple procedure.

Treatment by Stage

The selection of a treatment intervention depends largely on the disease progression and the patient's stage of cancer. The most common surgical treatment for cancer involving the pancreas is theWhipple procedure.

Primary Prevention

Research suggest that lifestyle factors such as change in diet, exercise, and maintenance of weight, can influence the likelihood an individual develops pancreatic cancer.

References

  1. 1.0 1.1 Ghaneh P, Costello E, Neoptolemos JP (2007). "Biology and management of pancreatic cancer". Gut. 56 (8): 1134–52. doi:10.1136/gut.2006.103333. PMID 17625148.


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