Pancreatic cancer

Question 1

What is pancreatic cancer

Answer 1

Adenocarcinoma of Ductal Pancreas affecting the Pancreatic head

Question 2

What are the RF of pancreatic cancer

Answer 2

Male over 60
Smoking and Alcohol
DM and FHx
Chronic pancreatitis

Question 3

What are the presentations of a patient w/Pancreatic cancer affecting the head

Answer 3

Courvoisier sign (Painless jaundice w/ Palpable GB)
Trousseau sign of Malignancy
Pale Stool, Dark Urine w/ Painless jaundice

Question 4

Pancreatic cancer of the Body and tail presents similar to what disease

Answer 4

Acute Pancreatitis (Epigastric pain to the back w/ forward relief)

Question 5

How is Pancreatic cancer investigated

Answer 5

1st = Abdo USS
Gold = Pancreatic CT Protocol w/ Bile duct drain
Serology = Ca19-9 tumour marker

Question 6

What is the gold standard test for Pancreatic cancer

Answer 6

Pancreatic CT Protocol w/ Bile duct drain

Question 7

How is Pancreatic cancer managed

Answer 7

Poor prognosis BUT
No Met = surgery and chemo
Palliative care available

Question 8

What is Trousseaus sign of malignancy

Answer 8

Episodic vessel inflammation