Cancer of the Pancreas (Cleveland Clinic)

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What is the pancreas?
The pancreas is a thin, long gland behind your stomach next to the duodenum (the first part of the small intestine) lying across the spine.

What does the pancreas do?
The pancreas has two functions:

  • It makes enzymes needed for digestion.
  • It produces hormones, including insulin, for the body to use glucose.

Pancreatic cancer

  • The incidence of pancreatic cancer has increased throughout this century.
  • It is the fourth most common cancer in men.
  • It is the fifth most common cancer in women.
  • Eighty percent of pancreatic cancer occurs in people over age 50.
  • Unlike other cancers, such as colon or breast, it is difficult to detect in its early stages.

Who is at risk for pancreatic cancer?

  • People with exposure to carcinogens (cancer-causing agents) are at an increased risk.
  • Though rare, heredity can play a role.
  • Pancreatic cancer is three to four times more common in people who smoke.

What are the symptoms of cancer of the pancreas?

  • Dull, continuous abdominal pain (less pain when leaning forward, more when lying down)
  • Pain in the middle of your back
  • Jaundice (yellowing of skin and whites of eyes), often accompanied by itching of the skin
  • Rapid weight loss
  • Chronic nausea or diarrhea
  • Weakness
  • Enlarged liver and gallbladder
  • Clay or light-colored stools

How is pancreatic cancer diagnosed?

  • History of your symptoms
  • Physical examination
  • Lab tests for anemia and blood sugar
  • Endoscopic retrograde cholangiopancratogram (ERCP)
  • CT scan or MRCP

How is pancreatic cancer treated?
Options might be:

  • An operation to remove the mass
  • Chemotherapy
  • Radiation therapy

If a surgical cure is not possible, surgery might still be used to relieve an obstruction of the bile duct or stomach.

Follow up-care

  • Control symptoms.
  • Eat small, frequent meals.
  • Rest
  • Pain medication if prescribed
  • Wound care
  • Bile tube care if necessary
  • Resume normal activity.
  • A follow-up appointment

Call your doctor if:

  • Skin or eyes become yellow.
  • Temperature is over 100 degrees for more than 24 hours.
  • Redness, swelling, or unusual drainage from wound
  • Opening of suture line
  • Nausea, vomiting, shaking, or chills

References

Copyright © 2010, The CCF Foundation. All rights reserved.


CCF Foundation ("CCF"); Reproduction of Documents in any form is prohibited except with the prior written permission of CCF. CCF does not guarantee the accuracy, adequacy, completeness or availability of any information and is not responsible for any errors or omissions or for the results obtained from the use of such information included in Licensed Content. CCF GIVES NO EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE. In no event shall CCF be liable for any indirect, special or consequential damages in connection with subscriber's or others' use of Licensed Content.


Last Updated: 11/6/2011

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