What are the symptoms of pancreatic cancer?

Written by Zhou Chen
Oncology
Updated on September 13, 2024
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The clinical manifestations of pancreatic cancer mainly depend on the location of the cancer, the stage of the disease, whether there is metastasis, and the involvement of adjacent organs. The clinical characteristics include a short disease course, rapid progression, and swift deterioration. The most common symptom is upper abdominal distension and discomfort, pain, though not all patients experience tenderness; if tenderness is present, it aligns with the area of pain felt. Pain is a primary symptom of pancreatic cancer, present whether the cancer is located in the head or the body/tail of the pancreas. Jaundice is a main symptom of cancer in the head of the pancreas, and patients often exhibit more severe gastrointestinal symptoms, most commonly loss of appetite, followed by nausea and vomiting. There might also be diarrhea or constipation, even melena. Diarrhea is often steatorrhea. In the early stages of pancreatic cancer, common symptoms include weight loss and fatigue.

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Written by Liu Liang
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What should I do if I can't stop vomiting due to pancreatic cancer?

Firstly, we need to ascertain the cause of the vomiting and can provide gastric protection and antiemetic treatment accordingly. If the vomiting is due to biliary obstruction caused by pancreatic cancer, resulting in severe jaundice and intense vomiting, in such cases, we can also place a stent surgically to drain the bile. The jaundice might be relieved afterwards, and accordingly, the vomiting symptoms might also be alleviated. Another aspect is, if the vomiting is caused by the tumor itself due to pancreatic cancer, we need to employ chemotherapy or some targeted or antiangiogenic treatments to control the tumor itself, and only then might the symptoms of vomiting be relieved.

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Written by Wu Hai Wu
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How to deal with lower limb edema in advanced pancreatic cancer?

In late-stage pancreatic cancer, bilateral lower extremity edema should be considered possibly due to hypoalbuminemia, which leads to edema in both legs. It is also possible that cancer emboli in late-stage pancreatic cancer block the venous system, causing impaired venous return and resulting in bilateral lower extremity edema. To determine the specific cause, it is necessary to complete ultrasonographic examinations of the blood vessels in the lower limbs, as well as liver function tests, complete blood count, and others. After clarifying the diagnosis, appropriate treatment measures should be taken based on the different causes. For example, if the edema is caused by hypoalbuminemia, active supplementation with albumin and diuretics, among other treatments, is required. (Note: The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Yan Chun
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What are some symptoms of early pancreatic cancer?

Patients with early-stage pancreatic cancer generally do not exhibit many symptoms, as the tumors are relatively small. Clinically, many patients may experience intermittent mild abdominal pain that does not affect their daily lives. A small number of early-stage patients may exhibit symptoms of general fatigue, mild loss of appetite, nausea, mild acid reflux, or other symptoms of indigestion. Additionally, a few patients in the early stages may experience intermittent episodes of diarrhea. Because these symptoms are not distinctive, patients rarely seek medical attention early. When symptoms like significant epigastric pain and jaundice become apparent, it often indicates that the pancreatic cancer has progressed to a more advanced stage.

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Written by Liu Liang
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What is used for pain relief in pancreatic cancer?

If a pancreatic cancer patient is experiencing pain, the choice of pain medication can be based on the specific severity of the pain. For mild pain, mild pain relievers such as ibuprofen sustained-release capsules can be chosen initially. For moderate pain, pain relievers like tramadol can be used. If the daily dosage of tramadol exceeds eight tablets, which is two tablets each time, taken every six hours, and if the pain relief is still inadequate after 24 hours, then it might be appropriate to switch to opioid painkillers such as hydromorphone sustained-release tablets, morphine sustained-release tablets, or morphine.

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Written by Liu Liang
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Which test for pancreatic cancer is the most accurate?

Abdominal ultrasound and abdominal CT scans are the most commonly used imaging methods for diagnosing pancreatic cancer. Additionally, it is important to consider the patient's symptoms and blood tests for tumor markers, mainly IP antigen, CEA, and CA19-9. Confirming pancreatic cancer requires a biopsy to find cancer cells, which is the gold standard for diagnosis. Other tests can serve as screening and adjunct diagnostic tools. Confirmation requires a biopsy for pathological diagnosis or direct radical surgery followed by a postoperative pathological confirmation.