Early symptoms and manifestations of pancreatic cancer

Written by Yan Chun
Oncology
Updated on February 08, 2025
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Pancreatic cancer is a type of malignant tumor that has seen an increase in incidence in recent years. The early symptoms and signs of pancreatic cancer include the following: many patients experience abdominal pain, which often radiates to the shoulder and back. Additionally, some patients with early-stage pancreatic cancer may develop jaundice in the skin and mucous membranes, and some may even exhibit bleeding spots. Moreover, some patients with early-stage pancreatic cancer may show symptoms of indigestion, experiencing repeated belching, nausea, and loss of appetite. Furthermore, the symptoms of early-stage pancreatic cancer are generally not typical because the tumor is located deep within the body and is small, hence it does not invade surrounding tissues. Therefore, the clinical symptoms are neither severe nor diverse.

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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 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 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.

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Written by Liu Liang
Oncology
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What does pancreatic cancer ascites mean?

When pancreatic cancer causes ascites, particularly a large amount, we can collect the ascites to search for cancer cells. This generally indicates peritoneal metastasis, or metastasis above the liver which can also cause substantial ascites. In such cases, it typically signifies that the disease has progressed to a late stage, classified as stage IV. Patients in this category are unable to undergo surgery and their treatment primarily involves chemotherapy. If the patient's overall condition is good, chemotherapy can be chosen. If the patient's condition is relatively poor, targeted therapy or oral anti-angiogenesis medications may be selected to control the pancreatic cancer and manage the tumor. If the patient's condition is particularly poor, the approach involves placing a peritoneal drainage tube to remove the ascites and providing the best possible symptomatic supportive care.

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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.