Pancreatic Adenocarcinoma

Question 1

What percent of patients with pancreatic carcinoma present with lymphatic and metastatic spread of the tumor

Answer 1

90

Question 2

Mean patient age is

Answer 2

55 yrs

Question 3

Typically arises from

Answer 3

pancreatic head (80%)

Question 4

Tumors in the body and tail produce

Answer 4

late symptoms

Question 5

Pancreatic carcinoma is unfortunately usually

Answer 5

a fatal disease

Question 6

Survival time

Answer 6

4-6 months

Question 7

Relative 1 year survival rate with panc cancer percentage

Answer 7

24%

Question 8

5 year survival rate

Answer 8

5%

Question 9

Symptoms

Answer 9

abd/back pain
jaundice (painless)
weight loss

Question 10

SF

Answer 10

solid hypo mass

Question 11

Assoc findings

Answer 11

• courvoiser gb
• bile duct dilation
• dilated panc duct
• liver metastases
• ascites
• myphadenopathy
• pseudocyst formation

Question 12

Elevated labs

Answer 12

• conjugated bilirubin
• alk phos
• ggt
• amylase
• lipase

Question 13

What is performed with cancer of the head of the pancreas

Answer 13

whipple procedure (pancreaticoduodenectomy)

Question 14

What is removed of the whipple

Answer 14

head of the pancreas, a portion of the bile duct, the gb and duodenum are removed

Question 15

The remaining pancreas and bile duct after the whipple are

Answer 15

sutured back to the intestines to direct secretions back to the gut