Flashcards in Pancreatic carcinoma Deck (10)
Where do 70% of cancers of the pancreas occur?
The head of the pancreas
List some factors which have been associated with the development of pancreatic carcinoma?
Chronic pancreatitis (which may be secondary to excessive alcohol consumption)
High fat diet
Occupational exposure to coal gas and aluminium
What type of cancer makes up 75% of pancreatic cancers?
Pancreatic cancers are rarely a result of endocrine neoplasias such as what?
What age group does pancreatic cancer normally affect?
Rare in people under 50 years of age
Are men or women more affected, and what is the ratio?
Men are more commonly affected, in the ration 3:2
What is the 5 year survival of pancreatic cancer?
3%- worst of all cancers
List some presenting features of pancreatic carcinoma?
Deep epigastric pain which radiates to the back in 60% of cases
Jaundice with pruritus if cancer affects head of pancreas (50% of cases)
Ascites with a knobbly liver
Anorexia, nausea and vomiting
Palpable gallbladder (coursoivier's law)
What is the curative treatment for pancreatic cancer?
Surgery- radical pancreaticoduodenectomy.
Whipple's operation may be used