Doctor insights on:
Lipase Levels In Pancreatic Cancer
Are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? What about insulin blood level?
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. ...Read moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
CA-19-9, hs, CRP, ESR and CEA levels. Are these typically elevated in pancreatic or gastric cancer??
Tests CA pancreas: 21 M LA US asks CA-19-9, hs, CRP, ESR and CEA levels. Are these typically elevated in pancreatic or gastric cancer?? ANS: if by typically you mean more than 50% of the time then No. I would discuss each with your Dr who ordered these and see how the numbers should be interpreted in your specific situation. ...Read more
NOT VERY!!!: Hi. Pancreatic polypeptide (PP) is NOT a screening test for pancreatic tumors. The only pancreatic cells that make PP are rare neuroendocrine cells in the Islets of Langerhans (an already tiny fraction of the pancreas). And those would be a TINY, TINY fraction of all pancreatic tumors. But hey, if it's a PP secreting neuroendocrine tumor of the pancreas, you'd have it dialed! Good luck! ...Read moreSee 1 more doctor answer
What causes elevated lipase, amylase, transaminases (x 2-15) in the presence of normal liver and pancreas on ct? I have phpt and unid. Adrenal tumor.
Short answer: No: Most often if a malignant mass presses on the ductal system of liver or panc. (see picture), it can cause abn. blood enzymes. If the mass is small and ducts drain, routine enzymes are usually normal. Gilbert Syndrome, a genetic abn. of up to 7% of folks, has the significance like your fingerprints, and is discussed nicely in: http://ghr.nlm.nih.gov/condition/gilbert-syndrome ...Read more
Amylase and lipase: Are usually elevated with inflammation such as pancreatitis and could be normal with pancreatic cancer. A tumor marker ca 19-9 is usually elevated with pancreatic tumors. Depending on the location of tumor biliary enzymes could be elevated too. ...Read moreSee 2 more doctor answers
Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?
It is unclear: Hi kitten40047. The jaundice and elevated enzymes are concerning. It is reassuring to hear that the ct was negative. There may be other reasons for her symptoms. However, in the absence of any other explanation for the symptoms she has, you may want to have mom undergo additional tests, including perhaps MRI or endoscopy, which may shed more light on the pancreatic and liver areas. ...Read more
Let's reframe the ?: The issue isn't the amount of bilirubin causing problems with the liver. The liver is likely infiltrated with tumor mets and therefore is not able to process bilirubin. The elevated bilirubin can have multiple causes but is a symptom of the liver failure rather than the cause. It can also be a symptom of obstruction of the biliary system in the liver by tumor or simply inactivity (cholestasis). ...Read moreSee 6 more doctor answers
How elevated do lipase levels typically get in someone with acinar cell carcinoma of the pancreas?
See below: Ms. Amanda: Unfortunately there are no good tests for screening for pancreatic cancer. Lipase is not reliable and lumpy fat is a quack thing. You may consult this site for info on this topic: http://www.cancer.org/cancer/pancreaticcancer/detailedguide/pancreatic-cancer-detection ...Read more
Pancreatic cancer. Whipple. Chemo 7 months. Tumors in pancreas and liver. Recent blood clot. Pain. New intestinal blockage. Is my body shutting down?
Difficult disease: Some blockages are due to scar tissue inside the abdomen (called adhesions), and other blockages are due to cancer growth. A CT scan may be able to tell the difference between the 2. If the blockage is cancer-related, then it may be time to think about a different chemotherapy regimen. But if it's just adhensions, then sometimes an operation helps. Talk to your doctor to investigate further ...Read moreSee 1 more doctor answer
Which test is better for diagnosing pancreas insufficiency: stool panc elastase or serum lipase/amylase? Would either diagnose pancreatic cancer?
Both together: Neither of the tests alone tells much. A combination of tests and exams will lead to diagnosis. Pancreatic cancer is not able to be ruled out by any test or imaging study. It can only be absolutely proven by some form of biopsy. A ct guided needle or egd with brushing a may be the only way to find it. ...Read more
Ultrasound:Normal sized pancreas with non-parencymal disease. Elevated lipase level 111. Vomiting, abdominal pain. Is it pancreatitis?
Sometimes: yeeGet a more detailed answer ›
Often: Ct scan is a very good way to detect pancreatic cancer, but there are a few caveats. One, no test is 100% accurate. Two, some cancers may not be detected on ct scan because of the way the study was performed. Three, some may not be detectable due to small size or location. There may need to be other tests such as ERCP or endoscopic ultrasound. ...Read moreSee 2 more doctor answers
Lipases, such as lipoprotein lipase and endothelial lipase, are enzymes that breakdown circulating triglycerides (tg). Specifically, lipases degrade tg rich lipoproteins including chylomicrons, very low density lipoprotein (vldl) and remnant particles produced by breakdown of chylomicron and vldl particles. Decreased lipase function leads to accumulation of ...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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