Cancer Flashcards
1
Q
What is the most common form of pancreatic cancer and where does it form?
A
- adenocarcinoma
- head of pancreas
2
Q
How does pancreatic cancer present?
A
- painless, obstructive jaundice
3
Q
A new onset of diabetes or a rapid worsening of glycaemic control type 2 diabetes, can be a sign of __________ cancer. Despite good lifestyle measures and medication.
A
pancreatic
4
Q
NICE guidlines for suspected pancreatic cancer?
A
- 40+ with jaundice = 2ww referral
- 60+ with weight loss + an additional symptom = direct access CT abdomen
5
Q
What are the 2 signs of pancreatic cancer?
A
- Courvoisier’s law - palpable gallbladder with jaundice is probably pancreatic cancer or cholangiocarcinoma
- Trousseau’s sign of malignancy = migratory thrombophlebitis
6
Q
Investigations for pancreatic cancer
A
Imaging (CT TAP) + histology
- CA 19-9 tumour marker raised in cholangiocarcinoma or pancreatic cancer
- MRCP
7
Q
How is pancreatic cancer managed?
A
- surgery to remove tumour
- stents
- chemo
- radio
- whipple procedure
- modified whipple procedure keeps the pylorus in place
