Overview
Pancreatic cancer usually starts in the ducts of the pancreas (adenocarcinoma). Because the pancreas lies deep in the abdomen, symptoms appear late. Neuroendocrine tumours of the pancreas are a separate, generally slower-growing group.
Symptoms of pancreatic cancer
- Painless jaundice — yellow eyes and skin, dark urine, itching
- Pain in the upper abdomen radiating to the back
- Unexplained weight loss and loss of appetite
- New-onset diabetes in an older adult
- Pale, greasy stools; nausea
Risk factors
- Smoking, obesity, chronic pancreatitis
- Long-standing diabetes
- Family history; BRCA2 and other inherited syndromes
Diagnosis
Contrast CT of the pancreas is the main test, with MRI or endoscopic ultrasound and biopsy as needed. CA 19-9 is a supporting blood marker. Genetic testing (BRCA, MSI) is done because it can open targeted-therapy options.
Treatment at Shichim Oncocare
Surgery (Whipple procedure) offers the best chance of cure when the tumour is resectable, usually with chemotherapy before or after. For advanced disease, combination chemotherapy (FOLFIRINOX or gemcitabine-based regimens) is standard. Shichim Oncocare delivers these as day-care infusions, with pain management, pancreatic enzyme replacement and nutrition support built into the plan.