Which test for pancreatic cancer is the most accurate?

Written by Liu Liang
Oncology
Updated on September 14, 2024
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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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Written by Yan Chun
Oncology
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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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Written by Liu Liang
Oncology
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What are the symptoms of late-stage pancreatic cancer?

Some common symptoms of advanced pancreatic cancer include abdominal pain and upper abdominal pain, and it is even possible to feel an obvious lump in the abdomen. Jaundice is also a common symptom. Some patients may also experience nausea, vomiting, abdominal bloating, and abdominal pain, even ascites, which is a sensation of abdominal fullness. They are unable to eat, and eating can worsen the bloating. These clinical manifestations are accompanied by clearly noticeable abdominal pain. There are also symptoms associated with distant organ metastasis, such as when metastasis to the lungs can cause shortness of breath, coughing, and even hemoptysis. Some patients may experience extensive abdominal metastasis, which can even lead to intestinal obstruction and other clinical presentations.

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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 Liu Liang
Oncology
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Is pancreatic cancer contagious?

Pancreatic cancer, like other malignant tumors, is not contagious. Therefore, in clinical settings, including patients' families and accompanying healthcare staff often ask doctors if they might catch the disease while interacting with cancer patients. It is important to educate that malignant tumors, including pancreatic cancer, are not contagious. Contagious diseases refer to chronic conditions like hepatitis B, hepatitis C, tuberculosis, AIDS, etc., which can spread through contact with bodily fluids or blood of the affected individuals. However, malignant tumors are not infectious.

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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.