Also. In addition to dr rathore's answer, there are rare cases of acinar cell carcinoma, carcinosarcoma, and lymphoma of the pancreas. Potentially malignant (or "pre-malignant") lesions include intraductal papillary mucinous neoplasms (ipmn), mucinous cystic neoplasms (mcn), and solid pseudopapillary neoplasms (sppn).
Adenocarcinoma. 95% of pancreatic cancers are adenocarcinoma; the remaining 5% are hormone making tumors called neuroendocrine tumors (such as insulinomas, gastrinomas, glucagonoma, and vipomas).
Painless jaundice. Unfortunately pancreatic cancer is usually silent, unless it involves the head of the pancreas, which can cause painless jaundice (yellowness in the white part of the eye, dark urine, light stool). In advanced cases there can be pain, mostly in the mid abdominal region that radiates to back. Change in bowel habits, new onset of diabetes, difficulty digesting foods can be some of the symptoms.
Yellow skin. Patients often present with painless jaundice since the bile ducts can be obstructed. But there can be abdominal pain, bloating, change in stool color, fever, night sweats, and weight loss with or without loss of appetite.
Varies. Patients with pancreatic cancer may have no symptoms until the disease is advanced which is one oif the reasons it is so dangerous. Symptoms can include abdominal pain, nausea, weight loss.
Whipple surgery. This is a big operation, but has the best chance of cure. Unfortunately, minority of pancreatic cancer patients can undergo this procedure. Pancreatic cancer is typically found at the later stages where this operation is not possible.
It depends. A whipple operation is appropriate for patients with pancreas cancer in the "head" part of the pancreas gland, but patients with adenocarcinoma in the tail part of the pancreas can be eligible for a procedure called "distal pancreatectomy" where only the tail portion is removed. This is generally a much safer operation that is easier to recover from. Talk to your doctor about your options.
Depends on location. Some tumors of the body and tail can be managed by distal pancreatectomy. Those in the head usually require pancreaticoduodenectomy or whipple procedure. Occasionally a total pancreatectomy is required for tumors that spread along the pancreatic duct. Adequate lymph node removal is needed and rarely portions of adjacent organs are resected.
Are there different types of chemotherapy for a person with localized recurrent pancreatic cancer? Want to reduce dimensions. Can you name some?
Options. It depends on the size of the tumor, what therapy has already been given at the time of the original diagnosis, and the overall health of the patient but here are some possibilities: FOLFIRINOX, Gem-Abraxane, Gemcitabine, 5-FU, and checkpoint inhibitors. Hope this helps, and best wishes!
Diagnosis. Pancreatic cancer is unfortunately diagnosed usually late. This is because the pancreas is an organ deep inside the body. Usually it has progressed to a severe form of cancer by the time it has been diagnosed.
Several reasons. Pancreatic cancer has lower survival rates for several reasons. 1) there are no symptoms with early pancreatic cancer, and no screening tests, so it is usually not detected until late stages, 2) the pancreas is surrounded by several vital structures that make tumors unresectable early on, and 3) this tumor causes an intense fibrotic reaction that makes it resistant to penetration by chemotherapy.
Could pancreatic cancer cause a tingling type sensation on the left side... sort of under the ribcage? What else could this be?
Pancreatic cancer. It would be unusual for pancreatic cancer to cause a tingling sensation especially under the rib cage. Pancreatic cancer pain is usually a steady, boring type pain in the mid-upper abdomen sometimes alleviated by bending forward. Tingling sensations are usually superficial perhaps involving only the skin or a nerve irritation.
My mother has recently been diagnosed with pancreatic cancer. What can you tell me about this type of cancer?
Multiple. Has it spread outside the pancreas? Does the cancer involve the lymph nodes? What type-- adenocarcinoma or neuroendocrine cancer? Has a surgical oncologist evaluated whether the patient is a surgical candidate? Other than the pancreatic cancer, how healthy is the patient? These are just a few of the factors that affect the treatment and prognosis of pancreatic cancer.
This year I was diagnosed with chronic pancreatus. Take creon, helps great. Now, I am type 1 diabetic. Should I worry about pancreatic cancer?
Not really. Chronic pancreatitis, diabetics has slightly higher incidence but not significant enough to worry, go for regular routine examinations from your physician.
Increased risk. There is a statistical association between chronic pancreatitis, diabetes, and pancreatic cancer. Unfortunately, there aren't very good screening tests, even in people with risk factors. Talk to your doctor about possibly seeing a gastroenterologist who can perform endoscopic ultrasound.