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Last Updated: Mar 21, 2020
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Pancreatic Cancer - How To Detect It?

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Dr. Ashok JainOncologist • 44 Years Exp.MS ( General Surgery)
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The pancreas has an important role in the body. It releases enzymes for digestion and hormones for managing blood sugar. Pancreatic cancer hampers these functions and starts to affect the health of the patient even before cancer spreads to nearby organs. However, the real concern with pancreatic cancer lies in its rapid spread. In fact, it typically spreads to nearby organs quite fast. Moreover, it is quite difficult to detect it in the early stages.

Symptoms of Pancreatic Cancer-

Jaundice: Jaundice symptoms like yellowing of skin and eyes may appear in the primary stages of cancer if it begins near the common bile duct. However, if it begins at the opposite end, it would manifest only in the advanced stages. Pancreatic cancer spreading to the liver can also cause jaundice.

Back or Belly Pain: Back pain or abdominal pain is common in patients suffering from pancreatic cancer. The cancerous part of the pancreas can grow large and start impinging upon the nearby organs. This causes pain. If cancer spreads to surrounding nerves it may also cause pain.

Weight loss: Weight loss accompanied by poor appetite is a very common symptom of pancreatic cancer.

Nausea and Vomiting: If cancer spreads to the stomach, it can create a partial blockade for food resulting in nausea and vomiting.

Liver Enlargement: Pancreatic cancer may lead to enlargement of the liver if cancer has spread to that organ. The doctor can detect an enlargement by palpating the edge of the liver.

Indeed, there may also be other symptoms of pancreatic cancer, but none of these is definitive. In fact, by the time the symptoms begin cancer might have spread far and wide. However, for the fortunate one, pain or jaundice symptoms may start early. In their case, treatment can be started early.

Treatment of Pancreatic Cancer-
Though pancreatic cancer is hard to cure, a complex surgical procedure known as the Whipple procedure can extend the life of patients significantly. It is also called as Pancreaticoduodenectomy. In this procedure, doctors remove the wide part of pancreas lying adjacent to the duodenum. However, it is not only the pancreas portion that is removed, but other parts like the duodenum, the gallbladder, a part of the bile duct, and also a part of the stomach is also removed. After the surgery, the surgeon reconnects the rest of the intestine, bile duct, and the pancreas.

Who Can Undergo Surgery for Pancreatic Surgery?
Everybody is not fit for pancreatic surgery. It is estimated that just about 20% of patients can undergo this procedure. In most of these patients, cancer has not yet spread to major blood vessels and organs like lungs, liver, stomach, etc. To identify candidates for this procedure, doctors may even resort to testing. Among those eligible for the Whipple procedure, some can undergo laparoscopic procedure while others may need to go through an open procedure.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

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