Notes

Pancreatic cancer what to know


In our country it is known that pancreatic cancer is the third most common causes of death from cancer . Despite this, it continues to have the lowest prevalence which is 3.1 percent of all cancers diagnosed in Spain by 2020, according to SEOM. Spanish Society of Medical Oncology (SEOM) as of last year , they accounted for 6.7 percentage of cancer deaths in our country.



Types of pancreatic cancer


The experts of the Spanish Foundation of the Digestive System (FEAD) point out two kinds of tumors




Cancer of the pancreatic gland that is exocrine : The most common types of this kind of cancer are adenocarcinomas, which target the cells responsible for making pancreatic juices. They constitute more than 90% of tumors that appear inside the pancreas. This type of cancer is generally referred to as pancreatic cancer, regardless of the fact that there are other less common tumors found in this organ.


Adenocarcinoma of the pancreas This type of tumor is less common and is more likely to occur in a different way from adenocarcinoma.



Causes and symptoms


One of the major issues with this kind or cancers is that typically it doesn't produce any sort of symptoms during the initial stages.



According to the Dr. Mileidis San Juan Acosta , a specialist within the Digestive System and head of the FEAD Foundation Activities Committee, "in general, the pathology initially does not create symptoms, therefore it is usually diagnosed in advanced stages and the death rate is high , over 90 percent. It is only as the cancer progresses will it begin to show signs. '



The symptoms mentioned by the doctor. San Juan Acosta are:






The pain can be caused by pressure placed on nearby nerves or organs.


The skin begins to yellow (jaundice) that happens when the tumor presses on the bile duct.


Insomnia and weight loss.


It is also possible to vomit "due to obstruction in the duodenum which block the passageway into the stomach and into the intestine."



Diagnosis


There are several tests that confirm pancreatic cancer or indicate its extent. The analytical is a supplementary test in the event of suspicion . It will examine liver enzymes or other markers that may aid in the diagnosis of suspicion.



The most accurate radiological test is the Computed Tomography (CT) or scanner. pancreatic cancer symptoms determines if there is a tumor , its size and extent, as well as if there is metastasis.



To determine smaller tumors, or lymph nodes infected A endoscopic ultrasound can be carried out, which permits biopsies of tumors to be taken.



And endoscopic retrograde cholangiopancreatography (ERCP) is used to examine the bile and pancreatic ducts.



Treatment


"Treatment options" for this kind of cancer are chemotherapy, surgery and occasionally radiation therapy . Normally they are interspersed between the two, and there are a number of options for combinations. The choice will be made by the position of the tumor, its size and its length, as well as whether there are lymph nodes that are affected or metastasis in blood vessels as well as age and associated pathology "according the Dr. San Juan.



In addition to the specific treatment for patients, they can also get other therapies that can help fight the effects of the tumor that can be beneficial, for instance, nutritional aid or pain management treatment for insulin if they develop diabetes, prosthetic placement and even an operation to remove the bypass.



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