How is pancreatic cancer diagnosed?

Written by Liu Liang
Oncology
Updated on September 15, 2024
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The most common symptoms of pancreatic cancer are pain in the upper abdomen and jaundice. During physical examination, a mass in the upper abdomen can be felt, which is a common symptom. When these symptoms appear, further abdominal ultrasound or CT scans should be performed, as these two are the most commonly used imaging methods for diagnosing pancreatic cancer. Additionally, pancreatic MRI or PET-CT can also help enhance the diagnostic accuracy for pancreatic cancer. MRCP and ERCP are also used to assess the bile ducts and to evaluate the feasibility of surgery. Blood tests for pancreatic cancer-related tumor markers, such as carcinoembryonic antigen (CEA) and CA19-9, are commonly performed, with CA19-9 being particularly sensitive and specific for the diagnosis of pancreatic cancer.

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Written by Yan Chun
Oncology
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Does pancreatic cancer cause bloody stools?

Patients with pancreatic cancer may exhibit clinical symptoms of bloody stools, and the possible causes are as follows: First, the lesion of pancreatic cancer invades organs and tissues such as the gastrointestinal tract, causing damage to the mucous membranes, which clinically results in bloody stools. Second, if the pancreatic cancer metastasizes to the liver, liver function is impaired. Some patients may develop hyperactive splenic function, leading to a decline in platelet counts. When platelet levels drop to a certain extent, spontaneous visceral bleeding can occur, which may also manifest as bloody stools clinically. Third, in the late stages of pancreatic cancer, the disease may cause metastasis to multiple organs, leading to the complication of disseminated intravascular coagulation. This results in impaired coagulation function, making gastrointestinal bleeding likely, which is also clinically manifested as bloody stools.

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Written by Zhou Chen
Oncology
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Can pancreatic cancer patients eat eggs?

The dietary principles for pancreatic cancer are: First, eat nutritionally rich foods; second, pay attention to reasonable combinations; third, adjust the dietary structure; and fourth, appropriately include some fungi. Patients with pancreatic cancer should first consider nutrition in their diet, and can eat more high-protein, high-carbohydrate foods, such as fish, liver, eggs, milk, vegetable soup, etc., to supplement the nutrients and energy needed by the body. Based on their actual physical condition, they should adjust their diet structure and ensure nutritional balance. Therefore, it is acceptable for pancreatic cancer patients to eat eggs.

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Written by Liu Liang
Oncology
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What to do about pancreatic cancer pain?

Pancreatic cancer pain is common in clinical practice, with some patients presenting with abdominal pain as their initial symptom. Pain management can be symptomatic, using analgesics for relief. For mild pain, tramadol can be chosen for pain relief. For severe pain, opioid analgesics such as morphine sustained-release tablets, oxycodone sustained-release tablets, or morphine tablets can be used for pain relief. These are merely symptomatic treatments. The fundamental approach involves surgical or oncological treatments like chemotherapy or radiotherapy to treat pancreatic cancer. Only when the tumor is controlled will the symptoms of pain be alleviated.

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Written by Liu Liang
Oncology
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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 Yan Chun
Oncology
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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.