Doctor insights on:
Pancreatic Enzymes Abnormal Does This Mean Cancer
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
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
Health fraud: Giving the pancreatic enzymes that help in pancreatic insufficiency (cystic fibrosis, chronic pancreatic scarring) as a cancer treatment is a cynical, cruel fraud. It's often packaged with "detoxification" and coffee enemas. Don't pay money to the people who've tried to deceive you on the thought "what if it did work? ". ...Read more
Normal pancreatic enzymes, normal liver enzymes, normal CBC, normal ESR & C-RP. Does this rule out pancreatic and liver cancer?
Why do you ask?: Why would you think you have this stuff at age 20? You've written about this before. You owe it to yourself and those who love you to get with someone who can help you out these thoughts out of your mind and get on with studying, getting job skills and experience, perhaps finding romance and meaningful things to enjoy. To be brave, act brave. You're anything but helpless. ...Read more
Are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? What about insulin blood level?
Can high liver enzymes lead to pancreatic cancer? Can't take aspirin for headaches, take fiorcet, has acetaminophen take 6 times a day!
Likelyhood of pancreatic cancer in 34yr male with urq disc. Occ. Floating stool? Normal CT scan of abd/pelvis, u.S, blood, enzyme, stool tests normal.
Floaters are fine: The usual reason for a bowel movement floating is extra trapped gas; this varies with diet, gum-chewing, roughage, how much you talked & swallowed your saliva. When due to fat malabsorption (a much less common explanation) the person is clearly sick; if due to pancreatic cancer you'd be jaundiced. Any further concerns are best discussed with your physician. ...Read more
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
Not necessarily: There are a number of different pancreatic abnormalities/tumors not all of which are frank pancreatic cancer. He should be able to get more specific information from his doctors, including exactly what it is and also the expected prognosis. ...Read more
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 more
Not likely to be can: Cancer is rarely the cause of elevated liver enzymes...So you do not have to worry that much. Yet they imply liver damage of some degree, the commonest cause is alcohol. So I would advise you to be sure not to drink alcohol till the enzymes return to normal. Also make sure that you do not have hepatitis. This can be done with a blood test for hepatitis b and hepatitis c. ...Read more
What's the fibroadipose tissue of pancreas? If gastric cancer has invaded this tissue, does it mean it has invaded the pancreas? Is it curable?
Capsule of pancreas: The pancreas situated just behind the body of the stomach in the retroperitoneum does not have a real capsule like Gerotas fascia of kidney. When a stomach tumor invades posteriorly it reaches the anterior surface of the body of the pancreas. If this stomach tumor is completely removed and RT and chemo given there is a slight possibility of cure. ...Read more
Pancreas: Please go online and look up "Heterogeneous pancreas". There are many articles but most, if not all, report that pancreatic cancer is very uncommon in "heterogeneous pancreas". ...Read more
What can I do if my uncle died from pancreatic cancer. Does this mean my dad has a good chance of getting it?
Probably not: It depends on the type of pancreatic cancer. The most common type (not the one steve jobs had) has a weak genetic link. A person with a first degree relative with pancreas cancer has only a modestly elevated risk of getting pancreas cancer. ...Read more
My dad had pancreatic cancer when he was 40 years old, does that mean that PC runs in my family? And im going to get it too?
Not familial: Pancreatic cancer has little tendency to run in families apart from the genetic disease in which chronic pancreatitis precedes it. This is not a subtle illness and you'd know if you had it. I see you smoke 0-2 packs/month. Please stop smoking altogether -- both to drop your pancreatic cancer risk, and because smoking is treacherous and your addiction will increase otherwise. Best wishes. ...Read more
A listed symptom of pancreatic cancer is uneven, lumpy texture of the fatty tissue under the skin. What does this mean? My fattier areas feel lumpy!
Ignore this stuff: Amanda, being health conscious is great but obsessing over cancers that are vanishingly rare at your age does no good to anyone. Acinar cell carcinoma, a rare variant, produces lipases that cause spectacular fat necrosis beneath the skin and the nodules feel like rocks. Healthy fat is divided by septa, easier to feel on some folks than others. And this means nothing. Be tough minded. Best wishes. ...Read more
If occasional floating stools were caused by pancreatic cancer would they be obviously abnormal looking?
Yes: It would be obvious to anyone. "floating stools" are almost always from gas bubbles. They suggest gum-chewing or talking a lot rather than cancer. When due to steatorrhea as from pancreatic cancer, the stools are light-colored and incredibly stinky. If you are obsessed with the idea that you have pancreatic cancer, perhaps a good psychologist or other person can help you manage these thoughts. ...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
What does it mean when the CA19-9 level goes back to the normal range when someone has pancreatic cancer? Is this a sign of remission?
Well....: If it was elevated before surgery and now is normal, I would say it is a very good thing BUT, that as of itself does not mean it is in remission or that it will stay that way. Cancer can exist in microscopic form and often there is no way to know for sure, be it with labs or even with scans. Such patient will need long term follow up and maybe even consider post operative therapy. Best 2U! ...Read more
Why is a symptom of pancreatic cancer sometimes listed as "uneven texture of fatty tissue"? Does this mean panniculitis from acinar cell carcinoma?
Not common: The origin of pancreatic cancer is within the ductal Some people with pancreatic cancer develop an uneven texture of the fatty tissue underneath the skin. This is caused by the release of the pancreatic enzymes that digest fat. Tumor eventually obstructs the duct completely to prevent digestive enzymes from being secreted resulting in steatorrhea. ...Read more
My father died of pancreatic cancer when he was 39 years old, does it mean that its a familial type of cancer and that I have high chance of getting?
Probably not: Although he was diagnosed at a young age, if his is the only case in your family it was still most likely sporadic and not genetic or familial. It would be good to know what the exact type of pancreatic tumor it was and a detailed family history of any types of cancer to help make a better assessment. ...Read more
In layman's terms what does this mean: "study for detecting pancreatic cancer states: sensitivity of mrcp with respect to diagnosis PC was 84 percent and specificity was 97%." A study done on detecting PC.
Screen vs Confirm: Sensitivity means that if you had 100 people with biopsy proven PC, then 84 out of the 100 people with PC had a (+) test. Specificity means that if you had a (+) test result there is a 97% probability that you have PC and a 3% probability that you have a "false positive" (which means you do not have PC). High sensitivity tests are used to screen for a condition whereas high specificity confirms. ...Read more
Are abnormal liver enzymes linked with any cancers other than liver cancer, such at uterine or ovarian? ..
Yes, they can be.: Many cancers which spread to liver can cause abnormal enzymes. ...Read more
My dad scanner results said prediculaire liver tissue mass extended peri pancreatic cephalic and he needs biopsy what it means is his cancer killer?
Not necessarily: It could be primary liver cancer or from the ducts which has a better prognosis than pancreatic cancer. There are some masses that are not cancer, such as cysts. There are some masses to the liver from metastatic cancers of another area of the body. Let''s wait and see what the biopsy shows before jumping to conclusions. I'm sorry your Dad is ill. Let him know how much you love him. God bless. ...Read more
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
If floating stools were caused by pancreatic cancer, would they look obviously abnormal? Stool is brown, soft & formed but occ. Floats. Ct scan normal
Fat malabsorption: Floating stool is more likely to be an indication of fat absorption. It is not a sign of pancreatic cancer. ...Read more
A recent CT scan with contrast revealed two cysts on pancreas. What does this mean? Previous colon cancer and has esld. Also 6mm mass on liver.
Needs attention: Needs work up. Most of the pancreatic tumors are solid but cysadenoma, cystadeno carcinoma will present as cystic lesions need biopsy of these lesions to make sure they are not malignant also liver lesion. If pancreatic lesions are benign could be a candidate for liver transplantation for end stage liver disease (esld). ...Read more
Light brown stool with white "pebbles" here and there. Irregular. Not runny. Had this for 3 months. 1 bm daily. What is it? Can pancreatic enzymes help
This is not a likely scenario. Pancreatic cancer is extremely rare, . 45 incidence in a million! In 20 years of caring for children including a residency in a top Pediatric Children's Hospital Cancer Center, I have never seen it.
http://www. Cancer. Gov/cancertopics/pdq/treatment/unusual-cancers-childhood/HealthProfessional/page4#_62_toc ...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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