How to screen for pancreatic cancer

Written by Liu Liang
Oncology
Updated on September 11, 2024
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Pancreatic cancer is a common malignant tumor of the digestive tract. Due to its high malignancy and rapid progression, it severely affects human health. So how should pancreatic cancer patients be screened? Generally, abdominal ultrasound examination is the primary screening method. Another method is the examination of tumor markers, mainly carcinoembryonic antigen (CEA) and CA19-9. CA19-9 is a tumor marker with relatively high specificity and sensitivity for the diagnosis of pancreatic cancer. Therefore, during physical examinations, we can draw blood to check these tumor markers. If there is a significant increase in CA19-9 or CEA, further examinations of the pancreas, such as ultrasound or CT of the pancreas, should be conducted to further investigate whether there is a tumor in the pancreas.

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Written by Zhou Chen
Oncology
1min 16sec home-news-image

How is pancreatic cancer diagnosed?

Ultrasound, CT, MRI, ERCP (Endoscopic Retrograde Cholangiopancreatography), PTCD (Percutaneous Transhepatic Cholangio Drainage), angiography, laparoscopy, tumor markers measurement, cancer gene analysis, etc., are significantly helpful in confirming the diagnosis of pancreatic cancer and determining whether it is resectable surgically. Generally, ultrasound, CA199, and CEA can be used as screening tests. Once pancreatic cancer is suspected, a CT scan is necessary. If the patient has jaundice, especially severe, and a CT scan cannot confirm the diagnosis, ERCP and PTCD can be considered. If internal drainage is successful, surgery can be delayed for one to two weeks for patients with severe jaundice. The diagnostic value of MRI for pancreatic cancer is not superior to CT. If pancreatic cancer has been confirmed but it is uncertain whether it can be surgically removed, choosing angiography and laparoscopy is also clinically meaningful.

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Written by Yan Chun
Oncology
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What are the symptoms of pancreatic cancer?

Pancreatic cancer is a malignant tumor of the digestive system and its incidence has been increasing year by year. The symptoms of pancreatic cancer patients mainly include the following clinically: 1. Abdominal pain, which is a common manifestation in pancreatic cancer patients. It appears as intermittent pain in the early stages and as persistent severe abdominal pain in the middle and late stages. 2. Jaundice, especially common in patients with cancer of the head of the pancreas, tends to appear early. This jaundice is due to the compression of the bile duct by the tumor, often presenting as obstructive jaundice. Patients may also experience dark tea-colored urine and pale clay-colored stools. Additionally, pancreatic cancer patients may also experience symptoms like weight loss, fatigue, fever, and when the cancer metastasizes to other organs, symptoms related to the metastases may appear.

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Written by Zhou Chen
Oncology
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Pancreatic cancer is a type of cancer that arises from the pancreas.

The causes of pancreatic cancer are not yet entirely clear, but its occurrence is associated with smoking, drinking alcohol, high-fat and high-protein diets, excessive consumption of coffee, environmental pollution, and genetic factors. Recent surveys have found that the incidence of pancreatic cancer is significantly higher among diabetics than in the general population. There is also evidence suggesting a certain relationship between chronic pancreatitis and the development of pancreatic cancer, with a notably increased risk of pancreatic cancer among patients with chronic pancreatitis. Additionally, many other factors such as occupation, environment, and geography are somewhat related to the occurrence of this disease. Pancreatic cancer is not a cancer that comes from anger or emotional causes.

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Written by Huang Gang
Gastroenterology
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Can patients with advanced pancreatic cancer drink yogurt?

Patients with advanced pancreatic cancer can drink yogurt. Yogurt contains fats and proteins, which are not particularly high in content, and also contains probiotics that can effectively aid digestion. It is beneficial for relieving symptoms such as poor appetite, nausea, and vomiting. Drinking a moderate amount of yogurt can be beneficial for the body. Patients in the late stages of pancreatic cancer should adhere to a light diet, avoid greasy foods, and avoid drinking pure milk and soy milk, among others. A light diet should be the main focus.

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Written by Yan Chun
Oncology
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Early symptoms and signs of pancreatic cancer

Pancreatic cancer is a malignant tumor of the digestive system and does not have a high clinical incidence rate. Early symptoms of pancreatic cancer are not typical; some patients experience abdominal pain, primarily a persistent episodic pain that may radiate to the shoulder and back. Additionally, early-stage pancreatic head cancer patients may exhibit jaundice, often caused by obstructive jaundice due to tumor compression. Besides this, patients may also have clay-colored stools or urine the color of strong tea. Beyond these symptoms, early-stage patients exhibit no other signs. When typical clinical manifestations occur, they are generally indicative of mid to late-stage pancreatic cancer. Precursors to pancreatic cancer include persistent hidden pain in the shoulder or a stiff pain in the back. This continuous pain, often caused by the invasion of the abdominal nervous plexus, results in radiating pain.