Doctor insights on:
Stage Iv Pancreatic Cancer
Yes?: As a rule, stage 4 cancer of the pancreas is incurable. As to being terminal, it depends on the definition. If you mean it will kill the patient at some point, the vast majority of the times the answer is yes. If you mean it will kill the patient right away, it depends on the situation. Never say never, though, some patients have surprised me in the past. Sorry if it is about you or a loved one. ...Read more
Cancer of the pancreas are fast growing abnormal cells. These can be adenocarcinoma that can grow quickly, difficult to diagnose at an early stage & only sometimes can be removed with surgery. Endocrine cancers tend to be slower growing & may produce hormones & are surgically removed. Cystic cancers also may have better success with surgery. All of these can be difficult ...Read more
For what reasons won't a doctor attempt a liver transplant in a stage IV pancreatic cancer patient?
Problematic: Generally if pancreas cancer has traveled to the liver, then there is too much disease to expect benefit of a liver transplant. If the original cancer in the pancreas is still present, then the liver transplant will not help. Medications to lower the immune system to allow for an organ transplant will also cause cancer in other sites (such as in the pancreas) to rapidly grow further. ...Read more
Palliation: By the time that these cancers are stage 4, there is not much that can be done that is curative. Chemotherapy (gemcitabine) may slow the tumor down or mitigate some of the tumor symptoms. Radiation may also be used in a palliative manner to decrease some of the symptoms. Surgery is not done as the tumor is too widespread. Finally, an option is hospice care, particularly if the patient is frail. ...Read more
Doesnt exist: After failing chemo which all pancreatic malignancies do, a newer approach is using monoclonal antibodies targeting an immunogenic protein, a post translational modification of MUC5ac, to bring the tumor under control. With the proper dosage, added chemo and later the radiolabelled Alpha emitter given sequentially, better results are anticipated. ...Read more
Very short: Stage IV of any cancer means the cancer has spread to the distant organs. This could mean the liver, bone, brain etc. Randy pausch, a computer engineer from carnegie mellon wrote "the last lecture". It is about his experience with advanced pancreatic cancer. I think you might want consider it. ...Read moreSee 1 more doctor answer
What do you suggest if my sister in law was diagnosed with stage 4 pancreatic cancer. she is taking chemo once a week and a pill every day?
My sister was dianosed with stage 4 pancreatic cancer. She is taking chemo once a week and a pill. What are her chances of survival?
No: If the diagnosis is correct, then they want to play you for a fool. Please forgive my frankness, and call me unspiritual if you want. It is hard enough to have incurable cancer -- harder still to be taken for thousands of dollars by sweet-talkers who may themselves be deceived. If you realize you have been scammed, call your local prosecutor -- i'll testify for free if it will help. ...Read moreSee 1 more doctor answer
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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