Pancreatic Tumours Flashcards
1
Q
Type of exocrine carcinoma?
A
Adenocarcinoma
2
Q
Endocrine carcinomas?
A
Gastrinoma: produces gastrin, increases stomach acid, PUDx
Insulinoma: produces insulin, encourages sugar uptake and storage, hypoglycaemia
Glucagonoma: Produces glucagon, increases serum blood sugars, hyperglycaemia
3
Q
Who gets it?
A
Smokers
Eating lots of charred meat
Diabetes
Obesity
4
Q
Presentation?
A
Jaundice Steatorrhoea Dark urine Weight loss Back pain
5
Q
Diagnosis?
A
Blood tests US Triple phase CT MRI and MRCP Endoscopic US
6
Q
Management if inoperable?
A
Inoperable: ERCP to PC and stent insertion, decompress obstructed biliary ducts
7
Q
Management if operable?
A
Laparoscopy and staging ERCP stent, resection and palliative bypass
8
Q
Prognosis?
A
Poor survival
