Doctor insights on:
Pancreatic Cancer Age Statistics
Possible: Unfortunately, cancer shows no limits in terms of what ages it can affect. However, cancer is much less likely in a 19-year-old. I recommend waiting for official biopsy results before assuming this is cancer. It will be important to know not only if it is a pancreatic cancer, but also to know what type of 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
Don't Know: 85% of cancers are sporadic. When it happens in young patients (<50 yrs) we need to consider hereditary syndromes (ei: brca1 mutation) and familial syndromes. Most likely we won't know why it happened. What's important now is treatment. Speak to the oncologist who will help set a plan of treatment. ...Read more
60's: There are 2 main types. What is commonly referred to as "pancreatic cancer" is more specifically called pancreatic adenocarcinoma and this arises usually after age 60, but there are exceptions. The other kind of pancreatic cancer is called neuroendocrine cancer and can arise at any age. For a 23-year old, either would be rare, but talk to your doctor about the symptoms that have you worried. ...Read more
How rare is it for someone my age to get pancreatic cancer. I know rare, but how rare? 1 in 10, 20, a 100, a 1000?
Very rare: It is definitely not 1 in 10, or 20. So it has to be somewhere between 1 in 100 or more like 1 in 1, 000. But this is not going to help you to decide what to do. All I can say it that it is entirely possible, so get it checked out thoroughly till you know that your pancreas is ok if you have the typical signs and symptoms of pancreatic cancer. ...Read more
One of my parents had a pancreatic cancer before age 50, does it mean that pancreatic cancer if familial.
No: Great question, this is a devastating cancer so I understand your concern. That being said some forms of pancreatic cancers can tend to run in families (very rare) there are rare syndromes called men 1 and men 2 (nothing to do with the sex of a person, the letters stand for something else) that have pancreatic cancer. Google it, however you may want to ask your doctor about genetic counceling. ...Read more
A mom has pancreatic cancer at age 75. (Her mom died at about 45. Cause unknown). Chances that two 55 year old daughters will get pancreatic cancer?
Very unlikely: Pancreatic cancer is rarely familial, so it is very uncommon to see two members of a family develop this cancer. ...Read more
Pancreatic cancer t2n0? Stage 1b; unresectable due to age (78), surgical history. Is there any benefit to radiation and chemo beyond added time?
44 yr old male, former smoker(5 years), obese with a BMI of 41. had aunt with pancreatic cancer. Worried about my risk. How likely for someone my age and BMI ? I recently joined a gym and want to take steps to reduce my weight.
Good to lose weight:
It is not feasible to provide any meaningful estimate of your risk for pancreatic cancer. It is good that you started exercising and plan to lose weight. You may visit this site for into on this topic: https://www.cancer.org/cancer/pancreatic-cancer.html
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
CANCER: Is the DaVinci Robotic System used for pancreatic cancer in any major medical center in the U.S.?
Yes: There are likely a number of cancer centers using it. Here is the webpage for The Cancer Treatment Centers of America discussing the use of the DaVinci system for pancreatic cancer: http://ctcaho.pe/1U7XgLj ...Read more
Uncontrolled growth: Cancer is uncontrolled growth of cells that has escaped normal mechanisms of control that exists in the body to control cell growth and repair damage that may have occurred in the dna of a cell. If this happens to be in the pancrease, (pancrelipase) we call it pancreatic cancer. ...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
Probable viral: Pancreas cancer starts out as an intraductal lesion similar to breast DTIC (dacarbazine). It smolders within the ductal system for 15-20 yrs before first signs of ductal wall invasion to become an early pancreatic carcinoma. The TAA that are expressed early are oncofetal in origin and are suppressed at birth to reappear in the tumor as the oncogenic protein. Transformation probably viral induced. ...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
Yes indeed: The usual form is pancreatoblastoma, a tumor with a different appearance and behavior from common adult pancreatic cancer. It's quite uncommon, with a few dozen cases in the us each year. A microscopic photo of one such tumor is shown in the picture. ...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
Very uncommon: Pancreatic cancer is generally diagnosed in patients over the age of 60. Rarely it can arise in younger patients, especially if you have multiple family members that have pancreatic cancer or some types of inherited breast cancer. ...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
Jaundice most common: The pancreas extends across the abdomen with a head, body and tail. While the head is the most common site, its symptoms are related to the position of the bile duct under the head which when involved produces painless jaundice. The body becomes symptomatic when tumor penetrates the nerve plexus near the spine and the tail near spleen shunts blood to stomach when tumor invades splenic vein. ...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
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