What department should pancreatic cancer patients see?

Written by Liu Liang
Oncology
Updated on September 04, 2024
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For the treatment of pancreatic cancer, if it is in the early stages and the surgeons assess that surgery is feasible, surgical treatment is the main approach. If surgery is not feasible according to the surgeon's assessment, or if the cancer is found at an advanced stage without the opportunity for surgery, then the treatment involves chemotherapy or some symptomatic supportive treatments. Therefore, patients at their first consultation should initially visit the Department of Hepatobiliary Surgery to see if surgery is possible, and then consult the Department of Oncology for further treatment steps, especially for patients who do not have the opportunity for surgery, who need to visit the Department of Oncology.

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Written by Liu Liang
Oncology
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How is pancreatic cancer diagnosed?

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 Liu Liang
Oncology
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What department should pancreatic cancer patients see?

For the treatment of pancreatic cancer, if it is in the early stages and the surgeons assess that surgery is feasible, surgical treatment is the main approach. If surgery is not feasible according to the surgeon's assessment, or if the cancer is found at an advanced stage without the opportunity for surgery, then the treatment involves chemotherapy or some symptomatic supportive treatments. Therefore, patients at their first consultation should initially visit the Department of Hepatobiliary Surgery to see if surgery is possible, and then consult the Department of Oncology for further treatment steps, especially for patients who do not have the opportunity for surgery, who need to visit the Department of Oncology.

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Written by Yan Chun
Oncology
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Can patients with advanced pancreatic cancer eat watermelon?

Patients with advanced pancreatic cancer can eat watermelon. This is because many patients with advanced pancreatic cancer experience liver metastasis. Cancerous tissues damage liver cells, leading to impaired liver function and abnormal glycogen metabolism. Many patients may experience episodes of hypoglycemia, and eating watermelon can help replenish blood sugar, which is beneficial for the patients. Additionally, many patients with advanced pancreatic cancer suffer from a decline in appetite, and watermelon can stimulate their appetite and increase their food intake, which is also beneficial for their recovery. Thirdly, watermelon has a certain diuretic effect. Since many patients with advanced pancreatic cancer also suffer from hypoproteinemia, they are prone to edema. Eating watermelon can promote an increase in urine output, thereby helping to alleviate edema.

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Written by Liu Liang
Oncology
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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
Oncology
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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.