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Doctor insights on: Pancreatic Head Adenocarcinoma

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Is the kras gene behind pancreatic cancer & mucinous borderline malignant tumors? My aunt died from pancreatic this yr & i had the mucus tumor-*stg 1a

Is the kras gene behind pancreatic cancer & mucinous borderline malignant tumors? My aunt died from pancreatic this yr & i had the mucus tumor-*stg 1a

Two different types: Your aunt had the garden variety pancreatic cancer, your own tumor was different and it has a much better prognosis than your aunt's cancer. Ras gene is often mutated in pancreatic cancer but, as of now, it has no impact on diagnosis or on treatment of pancreatic cancer. ...Read more

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Dr. Andrew Seibert
3 doctors shared insights

Pancreas (Definition)

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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Are carcinoid tumors carcinoma? Is malignant metastatic stomach carcinoma that's hereditary a carcinoid cancer? carcinoid Neuroendocrine tumors?

Are carcinoid tumors carcinoma? Is malignant metastatic stomach carcinoma that's hereditary a carcinoid cancer? carcinoid Neuroendocrine tumors?

Complicated question: Carcinoids are carcinomas, usually more slow growing than adenocarcinomas. For information in this topic you may consult this link: http://www.webmd.com/cancer/carcinoid-tumors#1 ...Read more

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Are pancreatic malignant tumors hypoechoic ?

Are pancreatic malignant tumors hypoechoic ?

Yes: The typical echogenicity of the pancreas is hyperechoic to adjacent fat. A hypoechoic mass within the pancreas can be benign or malignant. If you have a hypoechoic mass in the pancreas at age 30, you should undergo an MRI or ct of the abdomen to evaluate it further unless by ultrasound it is obviously cystic. ...Read more

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Post neck dissection and head lesion removal. Mets from head to neck. Path results: malignant epithelioid and spindle cell neoplasm-english please. ?

Post neck dissection and head lesion removal. Mets from head to neck. Path results: malignant epithelioid and spindle cell neoplasm-english please. ?

Provisional: This is a preliminary report while the pathologist does more work to get the exact nature of the tumor settled down. I suspect this will turn out to be a carcinosarcoma. This is a difficult case and your physician will probably want several pathologists' signatures on the final report. ...Read more

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What is metastatic pancreatic cancer?

What is metastatic pancreatic cancer?

Moved to other organ: Metastatic pancreatic cancer is cancer that started in the pancreas and then moved to other organs. Most commonly it moves to the liver. It can spread throughout the body though. ...Read more

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Age 19.mrcp shows pancreatic duct head body tail dilated,abrupt cut in head region,branches & tail narrowing,duct 6mm.DOC on this site said hve cancer?

Age 19.mrcp shows pancreatic duct head body tail dilated,abrupt cut in head region,branches & tail narrowing,duct 6mm.DOC on this site said hve cancer?

Possible: (MRCP) an exam uses magnetic resonance imaging to visualize the biliary and pancreatic ducts in a non-invasive manner. It is used to determine if gallstones are lodged in any of the ducts. If narrowing of the duct in the head is present one can suspect an intraductal lesion which has not yet converted to invasiveness and produced painless jaundice of pancreatic Ca. Duct brushings by ERCP needed. ...Read more

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Symptoms of pancreatic cancer?

Symptoms of pancreatic cancer?

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

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Symptoms of pancreatic cancer?

Symptoms of pancreatic cancer?

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

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Can pancreatic/biliary duct, stomach, colon cancer or leukemia skip a generation?

Can pancreatic/biliary duct, stomach, colon cancer or leukemia skip a generation?

Variable: Family incidence doesn't mean you will have the disease only that you MAY get it and should be more vigilant. For example colon cancer. Start colonoscopy at age 30 rather than 50, etc.. ...Read more

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Is there any problems after removal of acinar tumor (pancrease (pancrelipase) head) ?

Is there any problems after removal of acinar tumor (pancrease (pancrelipase) head)
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Pancreas has ducts: And "glands" (acini) in the head, neck and body. Duct is the most common. If it is "out", ask if margins, nodes, and distant search is clear. Best wishes on recovery. The surgery is extensive. The adapatation not trivial. ...Read more

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Pancreatic cancer. Whipple. Chemo 7 months. Tumors in pancreas and liver. Recent blood clot. Pain. New intestinal blockage. Is my body shutting down?

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 more

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Pancreatic cancer, ampullary tumor. Whipple procedure.  Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?

Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?

Need biopsy done: A biopsy of one of the axillary lymph nodes may provide some guidance about the primary source of this tumor. It could be breast Cancer which sometimes would not show on a Mammogram(it is called an Occult Primary). Without obtaining tissue for microscopic exam it is difficult to proceed further. Ask his oncologist to provide you some answers and an understanding of this problem. ...Read more

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Abdominal carcinamatosis from breast cancer metastasis?

Abdominal carcinamatosis from breast cancer metastasis?

Could Be: You have a known breast ca? Any other mets? Typically, one would expect mets to bone before abdomen. If pathology on both sites is the same then probably mets. If not, possible second primary (like ovary). Good luck. ...Read more

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Mom diagnosed wi/stage IV non small cell lung cancer its mets to bones, a lymph node, pancreas. What is her chances of survival?

Mom diagnosed wi/stage IV non small cell lung cancer its mets to bones, a lymph node, pancreas. What is her chances of survival?

Tough: Not curable but treatable. Survival depends on several factors, performance status-meaning how she is doing and how many side effects. Also depends on how well and if she responds to chemotherapy. Hope this helps. ...Read more

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What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the chance at cure. Early stage prostate and renal cell (kidney) cancers can be very curable. Even really early stage pancreatic cancers can be quite deadly. ...Read more

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Dr. Riley Alexander
130 doctors shared insights

Adenocarcinoma (Definition)

Adenocarcinomas arise from glandular or secretory tissues. They are the common type of tumors (as opposed to sarcomas, from connective tissue) and include the common types colon, lung, ...Read more