Doctor insights on:
Advanced Stages Of Pancreatic Cancer
Cancer of the pancreas are fast growing abnormal cells. These can be adenocarcinoma that can grow quickly, difficult to diagnose at an early stage & only sometimes can be removed with surgery. Endocrine cancers tend to be slower growing & may produce hormones & are surgically removed. Cystic cancers also may have better success with surgery. All of these can be difficult ...Read more
In addition to gemcitabine, are there any new treatments for advanced pancreatic cancer (in older people)?
Cyberknife: Aggressive local treatment in addition to chemotherapy has offered good palliation of the symptoms and improvement of local control. Use of cyberknife radiosurgery in elderly with advanced pancreatic cancer patients is usually very well tolerated and improves local control and can offer palliation if patient is symptomatic. Gemzar alone or in combination with 5-fu mainstay of systemic therapy. ...Read moreSee 1 more doctor answer
What would symptoms be if I had advanced pancreatic cancer in the tail and is it possible to feel the tumor in the LLQ of my back?
Upper GI bleed: Tail of pancreas cancers rarely cause pain. Rather as they grow they obstruct the venous output from the spleen from blood feeding the spleen via the splenic artery. The spleen output is shifted to the vasa brevia of the greater curvature of the stomach where varices are formed and GI bleeding follows. Spread to other sites also noted early ie. liver. ...Read more
If pancreatic cancer was the cause of urq disc in 34yr would it be advanced enough not to be missed on CT scanw contrast?Test normal but still worried
Probably not : Symptomatic pancreatic cancer is usually easy to detect by ct. A normal scan, especially in a 34 year old, makes pancreatic cancer very unlikely. There are, however many other mire common causes of abd pain such as gallbladder disease and ulcers that are not well detected by ct. If pain persists see you physician for additional testing. ...Read more
When is it appropriate to get an intrathecal pump for pain and digestion in advanced pancreatic cancer? Would it be a sign of the end or hospice?
Use tens pad: Pain i not common complication of pancreatic cancer which primarily appears as a head lesion associated with jaundice. Pain is more common with body lesions perforating posteriorly into the celiac gangiion region. Here one can try a tens electric pad more easily controlled with oral pain meds than an intrathecal pump. Radiation may also control the pain if directed against the source of pain ...Read more
If pancreatic cancer was indeed the cause of symptoms (urq disc & occ. Floating stool) wouldn't it be advanced enough to show on CT or blood work?
Cancer phobia: Of course. It's human to be concerned about cancer because it is deadly if it cannot be treated, and there's so much misinformation. The "floating stools" of pancreatic cancer are obviously abnormal and are accompanied by obvious jaundice. If "urq disc" means discomfort in the right upper quadrant, look for another cause. If this baseless fear is obsessive, your physician can help. Cheers. ...Read more
A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?
TNM: The staging defines tumors by size, involvement of local structures, nodal status and metastasis. Size <2 cm=t1, >2cm-t2, beyond pancreas=t3, sma/celiac involvement=t4. T1/2 tumors with no nodes or mets=stage 1, T3 with no nodes/mets=stage 2a, t1-3 with nodes positive=stage 2b, any t4=stage 3, any mets=stage 4. Stages 1 and 2=resectable, stage 3= borderline, locally advanced (unresectable). ...Read moreSee 1 more doctor answer
Vascular involvement: The distinction between stage ii and iii hinges on the involvement of the arteries known as the celiac axis and the superior mesenteric artery. Specialist centers will treat a questionable stage iii as borderline resectable using chemo and radiation in an effort to get to resection. Seek help in a major center; this is an area where missteps occur. ...Read moreSee 1 more doctor answer
Palliation: By the time that these cancers are stage 4, there is not much that can be done that is curative. Chemotherapy (gemcitabine) may slow the tumor down or mitigate some of the tumor symptoms. Radiation may also be used in a palliative manner to decrease some of the symptoms. Surgery is not done as the tumor is too widespread. Finally, an option is hospice care, particularly if the patient is frail. ...Read more
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more
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