Pancreatic Cancer Flashcards
1
Q
Name nine risk factors for pancreatic cancer?
A
Male Smoking Alcohol Chronic pancreatitis Increased abdominal obesity Increased red meat Increased fatty diet Over 65
2
Q
Describe pancreatic cancer?
A
Mainly ductal adenocarcinoma Mets = early Presentation = LATE 60% = head of pancreas 25% = in body 15% = tail
3
Q
Describe the clinical features of tumours of the head of the pancreas?
A
PAINLESS obstructive jaundice
4
Q
Describe the common clinical features of tumours of the tail/body of the pancreas?
A
Epigastric pain - radiates to the back and is alleviated on sitting forward
5
Q
Describe two rarer presentations of pancreatic cancer?
A
Thrombophlebitis migrans - arm vein becomes swollen and red and then a leg vein and so on.
Hypercalcaemia
6
Q
O/E of a patient with suspected pancreatic cancer - what 7 signs may be evident?
A
Jaundice Palpable gall bladder Epigastric mass Hepatomegaly Splenomegaly Lymphadenopathy Ascites
7
Q
Which is the gold standard and most accurate investigation for pancreatic cancer?
A
Endoscopic sonography
