Pancreatic cancer Flashcards

1
Q

Most common type of pancreatic cancer

A

Adenocarcinoma (85%)
Other exocrine cancers (14%)
Neuroendocrine tumours (1%)

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2
Q

Risk factors for pancreatic cancer

  • Non-modifiable (3)
  • Modifiable (4)
A
  • Age >65
  • Family history
  • Hereditary conditions (Peutz-Jeghers, dysplastic naevus, Lynch, FAP)
  • Smoking
  • Obesity
  • Diabetes
  • Chronic pancreatitis
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3
Q

Most common site of pancreatic adenocarcinoma

A

Head

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4
Q

Microscopic appearance of pancreatic adenocarcinoma

A
  • Poorly differentiated glands

- Desmoplasia with fibrous stroma, various cell types and deposits

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5
Q

Symptoms of pancreatic cancer (7)

A
  • Weight loss
  • Loss of appetite
  • Abdominal or back pain
  • Jaundice/pale stools/dark urine
  • Steatorrhoea
  • Fullness/nausea
  • Constipation
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6
Q

Signs of pancreatic cancer (2)

A
  • Courvoisier’s

- Trosseau sign of malignancy (thrombophlebitis)

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7
Q

Blood tumour marker for pancreatic cancer

A

CA19-9

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8
Q

Imaging for pancreatic cancer

A
  • Endoscopic US

- CT

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9
Q

Five-year survival rate of pancreatic adenocarcinoma

A

5%

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