Pancreatic Cancer

Question 1

What law is adhered when diagnosing Pancreatitis?

Answer 1

Courvoisier’s Law

Question 2

What is the Courvoiseir’s Law state?

Answer 2

Painless Obstructive Jaundice
Palpable Gallbladder
— not likely to be gallstones

Question 3

Magnetic resonance cholangiopancreatography (MRCP) which reveals a ‘double duct’ sign on imaging.

What does this indicate?

Answer 3

Pancreatic Cancer

Question 4

Management of Pancreatic Cancer

Answer 4

-less than 20% are suitable for surgery at diagnosis

-Whipple’s resection (pancreaticoduodenectomy) is performed for resectable lesions in the head of pancreas. Side-effects of a Whipple’s include dumping syndrome and peptic ulcer disease

-Adjuvant chemotherapy is usually given following surgery

-ERCP with stenting is often used for palliation

Question 5

Side effects of Whipple’s Resection

Answer 5

Peptic Ulcer Disease

Question 6

Diagnostic investigation of choice for pancreatic cancer

Answer 6

High-resolution CT scanning

High-resolution CT scanning is the diagnostic investigation of choice for pancreatic cancer