Pancreatic cancer is one of America’s deadliest cancers because symptoms often don’t appear until the patient is in a later stage of the disease.
“It’s hard to treat and when it’s diagnosed, it’s usually diagnosed very late,” says Kevin Nguyen, M.D., a hepatobiliary surgeon at Piedmont Transplant Institute.
By the time many patients have symptoms, the cancer may be too advanced, invading blood vessels that cannot be removed, or it has metastasized to the liver or lungs.
The most common symptoms of pancreatic cancer
Symptoms vary from person to person but can include:
- Pain in the upper back or upper abdomen
- Weight loss
- Loss of appetite
- Indigestion
- Jaundice (yellow skin and eyes, dark urine)
- Nausea
- Vomiting
- Extreme fatigue
Treatment options for pancreatic cancer
Less than 20% of pancreatic cancer patients are candidates for surgery, which is the key to a cure.
“The only chance for a potential cure of pancreatic cancer is the combination of surgery, chemotherapy, plus or minus radiation,” Dr. Nguyen explains. “Without surgery, the only treatment is chemo and radiation and that is not curative. It’s only palliative, [meaning] it would only try to slow it down.”
Surgical options for pancreatic cancer
Piedmont offers several surgical options for patients with pancreatic cancer, including:
The Whipple procedure
Most pancreatic tumors are found in the head of the pancreas, making this surgical procedure the most common. During the Whipple procedure, the head of the pancreas, part of the small intestine, the gall bladder, part of the stomach and the lymph nodes near the head of the pancreas are removed.
Distal pancreatectomy
For cancers that affect the tail and body of the pancreas, surgeons can perform a distal pancreatectomy. In this procedure, both sections of the pancreas and the spleen are removed.
Both of these surgeries can be performed robotically.
“The diagnosis of pancreas cancer is a devastating diagnosis,” Dr. Nguyen says. “But we have options –surgical and non-surgical options. For patients who are able to proceed with surgery, their life expectancy is longer.”
For more information on pancreatic cancer treatment, click here.
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