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GI/Gen surg AM > Pancreatic cancer > Flashcards

Pancreatic cancer Flashcards

1
Q

What are the types of pancreatic cancer and which is most common?

A

Duct cell mucinous adenocarcinoma= most common
Carcinosarcoma
Cystadenocarcinoma
Acinar cell carcinoma

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2
Q

What are the features of pancreatic cancer?

A 
Upper abdo pain, radiating to back
Painless obstructive jaundice
Abdominal mass
Splenomegaly, ascites, palpable gallbladder
Weight loss, fatigue, N&V, anorexia
Diarrhoea, steatorrhoea
Supraclavicular lymphadenopathy
Tender subcut fat nodules
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3
Q

What investigations should be done for pancreatic cancer?

A 
Bloods
CXR
Abdo US
CT
ERCP/MRCP
PET
Laparoscopy
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4
Q

What are the management principles in pancreatic cancer?

A

Radical surgery- <10% have operable disease

Palliation

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5
Q

What is the radical surgical management of pancreatic cancer?

A

Pancreatoduodectomy (Whipple’s)

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6
Q

Who is eligible for a Whipple’s?

A

Fit patient
Tumour <3cm
No mets

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7
Q

What palliative surgery is available for pancreatic cancer?

A

Stenting

Choleduodectomy

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8
Q

What pain control is available for pancreatic cancer?

A

Opiates
Celiac plexus block
Radiotherapy

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GI/Gen surg AM (28 decks)

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