Orientation Lecture: Pancreatic Cancer Flashcards
What is the yearly incidence of pancreatic cancer in the U.S.?
44,000
Review the symptoms that suggest pancreatic cancer.
- Painless jaundice
- Weight loss
- Abdominal pain
- Palpable gallbladder
Give a differential for obstructive jaundice.
• Gallstones •PSC •PBC •Cancer: - Pancreatic - Cholangiocarcinoma • Pancreatitis
What imaging sign distinguishes neuroendocrine tumors from adenocarcinoma?
NETs enchance, while adenocarcinomas don’t.
How should you work up obstructive jaundice?
US or CT
When US shows dilations of the biliary tree, what is the next diagnostic step?
ERCP looking for stones and to take brushings of the secretions.
When a CT shows a mass in the pancreas, suspicious for adenocarcinoma, what do you need to do prior to surgery?
PET-CT for staging
Those with metastatic disease should not be offered surgery.
What is the main determining factor for surgical resectability in pancreatic cancer?
The tumor’s relationship to the neighboring vessels: the SMA, the SMV, and the common hepatic artery.
Minimally invasive surgery is possible for ______________ pancreatic cancers.
distal (in the tip)
Most neuroendocrine tumors are seen in those with ___________ syndrome.
MEN I
