Pancreatic cancer Flashcards

1
Q

What is the most common type of pancreatic cancer?

A

Adenocarcinoma

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2
Q

Is there a good 5 year survival rate with pancreatic cancer?

A

No

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3
Q

What are the possible risk factors for pancreatic cancer?

A

increasing age
smoking
diabetes
chronic pancreatitis
hereditary non-polyposis colorectal carcinoma

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4
Q

What is a classic symptom of pancreatic cancer?

A

Painless obstrutive jaundice

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5
Q

How is does pancreatic cancer cause obstructive jaundice?

A

Blockage of common bile duct from a tumour in the pancreatic head

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6
Q

What are the symptoms of painless obstructive jaundice?

A

pale stools
dark urine,
pruritus
cholestatic liver function tests

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7
Q

What abdominal masses may be felt in someone with pancreatic cancer?

A

Hepatomegaly
Gallbladder

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8
Q

What is Courvoisier’s law?

A

In the presence of painless obstructive jaundice, a palpable gallbladder is unlikely to be due to gallstones

Usually pancreatic cancer

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9
Q

What are the non-specific signs of pancreatic cancer?

A

Anorexia
Weight loss
Epigastric pain

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10
Q

What will a loss of endocrine function result in?

A

Diabetes mellitus

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11
Q

What will a loss of exocrine function result in?

A

Malabsortion
steatorrhoea

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12
Q

What paraneoplastic syndrome is associated with pancreatic cancer more than any other cancer?

A

Trousseau’s syndrome

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13
Q

What is Trousseau’s sign?

A

Migratory thrombophlebitis

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14
Q

What is migratory thrombophlebitis?

A

Inflammatory reaction in a vein that is accompaied by a clot that moves about the body

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15
Q

Where does pancreatic cancer metastasise to early?

A

Lung
Liver
Bowel

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16
Q

What is the investigation of choice for pancreatic cancer?

A

CT of abdomen and pelvis

17
Q

What imaging can also be used to diagnose pancreatic cancer?

A

Ultrasound

18
Q

What sign might you see on imaging that would suggest pancreatic cancer?

A

‘double duct’ sign

19
Q

What is the double duct sign?

A

simultaneous dilatation of the common bile and pancreatic ducts

20
Q

What is the only curative management of pancreatic cancer?

A

Tumour resection
Whipple’s resection (pancreaticoduodenectomy)

21
Q

Which part of the pancreas is usually affected by pancreatic cancer?

A

The head of the pancreas

22
Q

What are the possible complications of Whipple’s proceedure?

A

Dumping syndrome
Peptic ulcer disease

23
Q

What is usually given after surgery for pancreatic cancer?

A

Adjuvant chemotherapy

24
Q

What is used in the palliative management of pancreatic cancer?

A

ERCP with stenting