A 20-year-old male asked:
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are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? what about insulin blood level?

2 doctor answers
Dr. Gurmukh Singh
48 years experience Pathology
See below: There are no good blood tests for pancreatic cancer. Amylase, Lipase and insulin levels are not helpful in the diagnosis of pancreatic cancer.
Answered on Jan 11, 2020
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Dr. Shaban Faruqui
Specializes in Gastroenterology
Insulin levels /P.Ca: Serum amylase and/or lipase levels: Elevated in less than 50% of patients with resectable pancreatic cancers and in only 25% of patients with unresectable tumors. Tumor markers such as CA 19-9 antigen and CEA: 75-85% have elevated CA 19-9 levels; 40-45% have elevated CEA levels.The odds of getting pancreatic cancer were worse for men with type 2 diabetes and the highest insulin levels.
Answered on Mar 12, 2020

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