Doctor insights on:
Pancreatic Cancer Loss Of Appettite
If a person had pancreatic cancer that is causing left side pain (under the rib cage) and back pain, should you be experiencing weight loss too?
Unfortunately even in this era of tremendous advances in oncology field pancreatic cancer is still a gruesome diagnosis. The most common symptom is jaundice and pain is rather rare and can be associated with very advanced disease with significant weight loss.
Pain is more often associated with pancreatitis and specific tests should be done to rule out inflammation of the pancreas (pancreatitis). ...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
Heard pancreatic cancer grows slowly, had CT year and a half ago, with upper left abdom pain and 5% weight loss (since becom vege) CT still excludepc?
Stop worrying: You're a 22 year old man, non-smoker, your pain is lasting and undefined, you became a vegetarian and weight loss is expected (people don't overeat vegetables), a pancreatic cancer sufficiently advanced to cause pain won't be missed on ct scan. You're off to a great start in life. Don't trouble yourself with cancerphobia. Pain that's serious would have revealed its cause by now. ...Read more
With jaundice, orange urine and weight loss present. How long does a person with pancreatic cancer usually have?
Don't give up: If it's a small tumor in the head of the pancreas, then you may still have a chance at a cure. There are high-risk super-aggressive surgeries that are producing a higher cure rate than in the past. ...Read more
If pancreatic cancer was the cause of a blood clot, weight loss and digestive problems, would there be abnormalities in pancreatic function blood tests?
Pancreas blood tests: Commonly used blood tests of pancreatic-derived proteins (lipase, amylase, insulin, etc.) are notoriously poor markers for cancer given the variety of other things that may elevate them, and the reserve capacity of most organs. So, to answer your question, not neccesarily. Best tests are high resolution CT with specific pancreas-protocol, and EUS with biopsy. ...Read more
If pain and weight loss were as a result of pancreatic cancer would CT colonoscopy see the tumour on pancreas as it sees these organs as well as colon?
31 yr old- RUQ pain 8 mos.- CBC, CMP, AbdomUS, EGD, HIDA nml 6 mos ago. Dr say acalculous choleysteitis. So scared of pancreatic cancer. No weight loss 7 mo
Not related toCancer: You have a diseased gall bladder giving symptoms for 8 months, discuss with your doctor, you may benefit from its removal. Some times cholesterol deposits on gall bladder lining (strawberry gall bladder) will give severe symptoms, not seen as stones. Discuss with your doctor. ...Read more
Pain RUQ-x6mos- dr says gall bladder but HIDA, CBC, CMP, lipase, amalyse, EGD and abdom US 6m ago nml- can this pancreatic cancer? 30 yo. No Weight loss
No...Second opinion: Not likely to be pancreatic cancer given the imaging you've had so far. There is a blood test you can get that you that might be reassuring. I suggest a second opinion to evaluate for something more usual such as sphincter dysfunction. In the meantime avoid foods that induce symptoms ...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. A 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 where by 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
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
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
Multifactorial: Pancreatic cancer (adenocarcinoma) is caused by the accumulation of mutations in the dna of cells that line the pancreatic duct. Smokers, diabetics, and people with chronic pancreatitis are at increased risk, as are some people with familial (genetic) syndromes. Another type, neuroendocrine (like steve jobs) arise from hormone-producing cells and some are related to inherited cancer syndromes. ...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