Doctor insights on:
Whipple Procedure For Benign Pancreatic Mortality
10%: If a patient is a candidate for a Whipple, meaning no nodes or spread of tumor at the 1-2yr interval the survival is 10%. This may change since new immunothrapeutics are being developed. It will require a vaccine which turns on humoral immunity to produce the necessary monoclonals to prevent recurrent. The vaccine has been developed for tumor specific protein and not GVAX ...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
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
Yes: The main types of operations for pancreatic cancer are for patients who have no evidence of cancer spread beyond the pancreas. The first kind, for tumors in the right side of he pancreas is called a Whipple operation. The second kind, for tumors in the left side of the pancreas is called a distal pancreatectomy. These are both major operations that can sometimes be done robotically. ...Read more
Post Whipple Oncology Operation: Is the lgG4 blood test of any monitoring value for diagnosed pancreatic cancer?
Survival rate: Depends on stage: early stage - stage i 25 to 30%. Stage 2 15%, stage 3 7%, stage 4 5%. ...Read more
Hard to know: You may mean cardiac bypass or gastric bypass. The question you should ask is "what are the risks and the benefits of this surgery? What would happen if you didn't do surgery?" it may be that a gastric bypass surgery is necessary in order to relieve symptoms or remove the pancreatic cancer. But ask the doctor to explain until you're satisfied you understand the answer! ...Read more
Depends: Believe it or not, it can sometimes still be cured. It depends on the disease burden in the liver. After resection, they can do adjuvant therapy and follow up with hepatic resections if it is limited. Also for palliative reasons - if it is causing an obstruction, then the obstruction needs to be relieved to allow for simple gut function. ...Read moreSee 1 more doctor answer
If SIRT is done for liver mets , can this significantly prolong survival in metastic colon cancer pt?
Typically: The most common type of pancreatic cancer is adenocarcinoma arising from the pancreatic duct, usually associated with a bad outcome. The reason is that, given the anatomic location, adenocarcinoma of the pancreas typically will not cause symptoms until it has developed aggressive features (such as invasion of surrounding organs or metastasis to distant organs), rendering cure unlikely. ...Read moreSee 1 more doctor answer
Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...Read moreSee 5 more doctor answers
Pancreas cancer surg: This procedure is most often used to treat cancer in the "head" of the pancreas. It involves removing about half of the pancreas then reattaching the liver (bile ducts) and remaining pancreas to the intestines. There are multiple ways to actually do the surgery in terms of how the various organs are re-attached. ...Read moreSee 2 more doctor answers
Age 42 yrs . Diagnosed as cancer gall bladder with liver & b/l lung metastasis .Pt.'s s. Bilirubin is altered .No role of ercp stenting/ptbd.High fev.
Surgical oncologist's only: Survival rates for those with PC are disheartening. Is it true that cancer can be completely removed at Whipple operation?
Can be resected: The Whipple operation designed to resect lesions arising in the head of the pancreas can be performed in about 10% of patients presenting with the Ca. Following surgery where the procedure is successful and all tumor removed, at 2 years post Whipple only 10% of this group have survived. New programs with chemoimmunotherapy suggest that there will be an improvement in survival post Whipple. ...Read more
Im a 46 year old dentist, stage 4 pancreatic cancer met. In liver, the folks at hopkins what to do a whipple with resection of liver. Sound reasonable?
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