Pancreatic cancer Flashcards

1
Q

Aetiology

A
Smoking
Diabetes
Familial
Charred meat 
Obesity
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2
Q

Exocrine pancreatic cancer type

A

Adenocarcinoma

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3
Q

Endocrine pancreatic cancer type

A

Gastrinoma
Insulinoma
Glucagonoma

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4
Q

Clinical presentation

A
Painless obstructive jaundice 
Epigastric pain 
Pain radiates to back 
Pain is relieved by sitting forwards
Nausea, vomiting
Weight loss, loss of appetite 
Dark urine 
Pain stools
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5
Q

Investigations

A
LFT
US
CT 
ERCP
Biopsy
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6
Q

Management

A

Surgery

  • resectable:
    • whiples resection
    • total pancreatectomy
    • distal pancreatectomy
    • mid segment pancreatectomy
  • not resectable:
    • biliary bypass
    • gastric bypass
    • double bypass
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