Pancreatic adenocarcinoma

Question 1

Characteristics

Answer 1

Prognosis less than 6 or less
Very aggressive tumor arising from pancreatic duct
Usually already met at presentation

Tumor more common in pancreatic head (obstructive jaundice)
Associated with CA19-9

Question 2

Risk factor

Answer 2

Tobacco use (not ETOH)
Chronic pancreatitis (esp >20 yrs)
Age > 50
Jewish or AA males

Question 3

Presentation

Answer 3

Abd pain radiating to the back
Weight loss (due to malabsorption/anorexia)
Obstructive jaundice with palpable nontender gallbladder

Trousseau’s syndrome: Migratory thrombophlebitis: redness and tenderness on palpation of extremities