The difference between pancreatic tumors and pancreatic cancer

Written by Liu Liang
Oncology
Updated on September 25, 2024
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Pancreatic tumors include benign and malignant tumors, with malignant pancreatic tumors commonly referred to as pancreatic cancer. Benign pancreatic tumors include insulinomas, pancreatic cysts, lipomas of the pancreas, or fibromas, which are relatively rare in clinical settings. Whether benign or malignant, including pancreatic cancer, symptoms can include upper abdominal pain, nausea, vomiting, and jaundice, among other clinical signs. However, distinguishing between benign and malignant tumors requires pathological examination.

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Is there still a cure for pancreatic cancer with liver metastasis?

Pancreatic cancer with liver metastasis is considered to be in the advanced stage, but some patients can still benefit from treatment in terms of survival. They can choose chemotherapy, targeted therapy, and oral anti-angiogenesis medications, among others. The choice of specific medications should take into account the patient's overall condition and various other factors. The effectiveness of the treatment varies from person to person; some patients may benefit from the treatment, while others may not see significant improvement, but these options are still worth considering.

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What are the signs of pancreatic cancer?

Pancreatic cancer is a type of malignant tumor of the digestive tract that is difficult to detect in its early stages. The signs of pancreatic cancer mainly include the following: First, among people with diabetes, if there is a sudden occurrence of uncontrollable blood sugar levels, unexplained general fatigue, abdominal pain, decreased appetite, or even jaundice, one should highly suspect the possibility of pancreatic cancer. Second, individuals with a family history of cancer who recently experience unexplained symptoms related to the digestive tract should also be alert to the possibility of pancreatic cancer. Third, some patients may experience unexplained rapid weight loss accompanied by significant jaundice, which should also be considered as potentially indicating pancreatic cancer.

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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.

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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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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.