Doctor insights on:
Mri And Pancreatic Cancer
Yes: It's quite possible. I had a patient with abdominal pain who incidentally had a CT done, indicating a pancreatic mass, and follow up MRI confirmed the mass, prompting a further assessment with an endoscopic ultrasound and fine needle aspiration. So it's possible. But at 19, you're less likely to have pancreatic cancer. ...Read more
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
Are MRI reliable for detecting pancreatic. Cancer because i recently had one and i don't feel very reassured?
Yes: At your age (19), the risk of pancreatic cancer is vanishingly low. The detection rate for such a tumor is quite good; it may pick up a tiny leson that's producing jaundice so if that's why you think you (or someone you care for) may have it, getting 'scoped may also be in order. ...Read more
Dominant mass?: If there seems to be a dominant mass in pancreas that seems abnormal, you deserve to have tissue obtained and sent to the pathology team for diagnosis. Good luck. ...Read more
Highly unlikely: That said there is never a never or an always in medicine. Given your age doubtful ...Read more
Hi doctor i recently had mri with and without contrast and mrcp and the results cameback normal should i still worry about pancreatic cancer?
If someone has pancreatic cancer and an MRI was done that showed a new tumor (liver) does this mean it is always cancerous? Does a biopsy make sense?
Maybe: Every lesion seen doesn't mean its cancer. A biopsy would make sense if you would do something different with either a positive, negative, or non-diagnostic result. If there would be nothing different done in terms if treatment, life planning, etc., twgardless of the result, them don't do it. Hope this helps! ...Read more
A PET/CT scan (same day) can be very beneficial in pancreatic cancer detection situations. Can a PET/MRI be just as helpful in place of?
What's better for diagnosing pancreatic cancer.... Ct scan or mri? I've had normal ultrasound and CT scan with contrast. Still worried.
What's better for diagnosing pancreatic cancer? Ct scan or mri? 34yr male. I've had normal ultrasound and CT scan with contrast. Still worried.
CT, ERCP, MRCP: Thin-slice (3 mm) ct abdomen yields fine detail of pancreatic structures... Blood tests including tumor markers: ca-19-9, ca-15-3, and CEA can alert the clinician for ca. Also, ERCP w/ ductal brushings (though its endoscopy) can search for malignancy. Finally, mrcp may add to the clinical picture, but 64-bit ct is slowly encroaching on the former's superiority. ...Read more
Possible to have pancreatic cancer not show on CT MRI & eus? Symptoms for a year but scans & ca19-9 negative. Only 6mm simple cysts seen (no biopsy).
Possible: Possible but seems very unlikely at this point. A biopsy may give you an answer and peace of mind. ...Read more
What test is the best test to look for pancreatic cancer I'm scared? I have abd pain had mri/us/ct only thing it show is gb stones or polyps please help
Imaging studies best: The tests you had are very sensitive for finding pancreatic masses. If they show only stones then that is the likely reason for pain. Pancreatic cancer is rare at your age and stones can commonly cause pain and are far more common in a young woman. Blood test for ca19-9 can be used but is not specific for cancer. ...Read more
Pancreatic cancer symptoms MRI showed chronic pancreatitis, heart disease and fat liver, what is the chance that they might find a cancer there too?
Plan to live: Chronic pancreatitis only has a slight tendency to produce cancer especially if it's hereditary, and if it was not seen on imaging, it's very unlikely to be there and you should plan to live. If you are not a longtime heavy drinker, then we need to seek the cause of your liver, heart and pancreatic disease. It may be that a healthier future awaits you with aerobic fitness as the key. Best wishes. ...Read more
Due to kidney stones I have had 2 ultrasounds, 2 ct's and 1 MRI w/contrast in past year. If I had pancreatic cancer would one of these picked it up?
Whether the: CTs or MRI you had would be sensitive in detecting a small pancreatic cancer would depend on the technical parameters of the scans, so without additional information it is difficult to say. Large tumors would not be missed, small tumors might not be detectable if the scan was tailored for other purposes. ...Read more
Hi doctor I recently had an MRI on my abdominal and was wondering if it could detect pancreatic cancer if any?
Have had numerous tests (CT, MRI, Ultrasound, EKG,Endoscopy, Colonoscopy...)-have come back with IBS-C but worry about Pancreatic Cancer.w/pains. Normal?
Would an abdominal MRI with contrast to check on kidney cyst also show pancreatic cancer? It said pancreas was normal. Also, had clean ab ultrasound.
Yes: The pale stool of pancreatic cancer are obviously abnormal and you would be jaundiced ...Read more
Spiral ct, mri, and abdominal us did not find cancer. Ca19-9 level is 275 and CEA is .5. Is this pancreatic cancer or something else?
Need further monitor: Ca 19-9 can be raised from conditions other than pancreatic cancer as well. I would advise that your ca 19.9 be rechecked once or twice more, at 4-6 weeks apart. If the level is rising steadily, then you need further evaluation but if it does not increase further, you can be more relaxed. You need an oncologist or an experienced internist to monitor your case and guide you over the next 6-12 months. ...Read more
Depends on location: Pancreas is a fish-shaped organ with its head tucked into the duodenum (c-shaped beginning of small intestine coming off stomach). If tumor blocks bile duct or panc duct, causes abdominal pain, pancreatitis, jaundice. If it's in tail, will cause no symtptoms till very large or spread to other areas. Most common: weight loss, mental status change such as new onset depression. ...Read more
Surgery is Key:
The best option for cure is surgery. About 20% of patients with pancreatic cancer are candidates for surgery. The surgery is pancreaticoduodenectomy, also called a Whipple procedure. It usually involves removing.
1. The head of the pancreas
2. A part of the duodenum
3. An of a portion of the common bile duct
4. The gall bladder
5. In many instances a portion of the stomach ...Read more
Highly variable: Each person is different. Much of the early stage of pancreas cancer has no symptoms. May have gradual onset of lack or appetite and gradual weight loss. Later posdible yellow jaunduce formation. Later stage pancreas cancer can cause a severe boring pain from the mid upper abdomen into the upper back. ...Read more
Biopsy sometimes: Patients with pancreatic masses, elevated ca19-9 levels, and clinical features of cancer can fairly reliably be clinically diagnosed with pancreatic cancer. Biopsy should only be performed when the tumor is unresectable, metastasized, or if neoadjuvant (before surgery) chemo/radiation is being offered. Surgical resection should proceed to provide definitive pathology; needle biopsy often misses. ...Read more
It may be hereditary: There is some evidence that pancreatic cancer may occur more in some families. Johns hopkins was doing a study on families with pancreatic cancer whereby relatives were having very close followup that included ct scanning and surgery if there was suspicion of a developing cancer. I do not know if the study is still ongoing. ...Read more
Tumor size & spread.:
Stage i: the cancer is not touching the major blood vessels near the pancreas.
Stage ii: the cancer extends beyond the pancreas, or the cancer has spread to a nearby lymph node.
Stage iii: the cancer has wrapped around the major blood vessels near the pancreas.
Stage iv: the cancer has spread to other organs.
Surgery is usually not recommended for stage iii or IV tumors, but there are exceptions. ...Read more
See a doctor: The first thing to do in the work up of a possible pancreatic caricnoma is to visit with a doctor and have him/her take a history and perform a physical examination. If there is concern for cancer, the physician can perform laboratory testing and imaging studies to investigate the biochemical functioning of the pancreas and its anatomy. If those are concerning, then a biopsy may be performed. ...Read more
Pain, weight loss: Symptoms and signs can include pain in the upper abdomen, sometimes traveling to the back, and weight loss. Jaundice, a yellowing of the skin and eyes, can occur. Doctors may be able to detect a tender mass in the abdomen or enlarged lymph nodes. Unfortunately sometimes these symptoms aren't present until later. Smoking and obesity are 2 important and modifiable risk factors for pancreatic cancer. ...Read more
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 (liothyronine) 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 more
Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...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