Pancreatic Cancer. Cystic Neoplasms of the Pancreas.

Question 1

Pancreatic Cancer CxFx

Answer 1

painless jaundice, weight loss, depression

Question 2

Pancreatic Cancer labs results:

Amylase
lipase 
bilirubin
alkaline phosphatase
GGTP

Answer 2

Amylase and lipase are mostly normal

bilirubin, alkaline
phosphatase, and GGTP are elevated

Question 3

Pancreatic Cancer dx

Answer 3

CT scan reveals a pancreatic mass in 90%
then
surgical biopsy/removal at same time.

Question 4

If CT is negative while suspecting Pancreatic CA

Answer 4

endoscopic ultrasound with biopsy of the pancreatic lesions

Question 5

Pancreatic Cancer Tx

Answer 5

-Qx Resection if possible

Chemotherapy and radiation have little benefit in pancreatic cancer. The 5-year survival rate is just 5%.

Question 6

Cystic Neoplasms of the Pancreas Patho. have a ____ chance of turning into pancreatic cancer over time. Mucinous cystadenoma and intraductal papillary mucinous neoplasms are associated with elevated ____ and _____.

Answer 6

small

CEA
CA 19-9

Question 7

Cystic Neoplasms of the Pancreas management

Answer 7

must be removed before the growth

becomes invasive cancer.

Question 8

Pancreatic head carcinoma surgical management is with

Answer 8

pancreaticoduodenectomy (Whipple procedure)

Pylorus-preserving pancreaticoduodenectomy (Traverso-Longmire procedure)

Question 9

Pancreatic body and tail carcinoma

Answer 9

• Resection of the left side of the pancreas with splenectomy
• In some cases, duodenopancreatectomy with splenectomy