Pancreatic Cancer (Surgical Oncology)

Acute

What is Pancreatic Cancer?

Pancreatic cancer is a disease in which malignant (cancer) cells form in the tissues of the pancreas. Smoking and health history can affect the risk of pancreatic cancer. Signs and symptoms of pancreatic cancer include jaundice, pain, and weight loss.

  • Itching.
  • Dark-colored urine.
  • Weight loss.
  • Loss of appetite.
  • Light-colored or floating stools.
  • Belly pain that spreads to the sides or back.
  • Yellowing of the skin and the whites of the eyes, called jaundice.
  • Nausea
  • Constipation
  • Bleeding
  • Fatigue
  • Jaundice
  • Diabetes
  • Indigestion
  • Weight loss
  • Abdominal pain
  • Obesity.
  • Smoking tobacco.
  • Chronic pancreatitis.
  • Excessive alcohol consumption.
  • Age - most cases occur in adults over the age of 60.
  • Diabetes, particularly newly diagnosed diabetes.
  • A family history of pancreatic, ovarian, or colon cancer.

Can pancreatic cancer be prevented? A: Unfortunately, most pancreatic cancer cannot be prevented, but you can reduce your risk by maintaining a healthy weight, stopping smoking and limiting your alcohol intake. Other risk factors include chronic pancreatitis and family history.

  • Age.
  • Sex.
  • Race.
  • Diabetes.
  • Chronic pancreatitis.
  • Workplace exposure to certain chemicals.
  • Tobacco use. Smoking is one of the most important risk factors for pancreatic cancer.
  • Being overweight. Being very overweight (obese) is a risk factor for pancreatic cancer.

How is it treated?

  • Chemotherapy with or without targeted therapy.
  • Chemotherapy and chemoradiation.
  • Surgery (Whipple procedure, total pancreatectomy, or distal pancreatectomy).
  • Palliative surgery or stent placement to bypass blocked areas in ducts or the small intestine.

Pancreatectomy is surgery to remove part or all of your pancreas. It's usually done to treat cancer, and sometimes, severe chronic pancreatitis. Removing part or all of your pancreas can have lifelong consequences for your digestive system. You may need to take insulin and digestive enzymes from now on.

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