OST 575 Pancreatic Cancer Exam 3
Questions And Answers
What is the prognosis of pancreatic cancer? - ANSWER POOR with overall 5 year
survival of 5%
What are the different parts of the pancreas? - ANSWER
What age does pancreatic cancer usually start to occur? - ANSWER after 45 yrs old
(rare before)
What race is pancreatic cancer more common in? - ANSWER african americans
What are the groups at risk for pancreatic cancer? - ANSWER History of hereditary
pancreatitis
familial history of Peutz-Jeghers syndrome
Family history of pancreatic cancer in 1st degree relatives
When is imaging (CT) done for screening of pancreatic cancer? - ANSWER ONLY in high
risk groups
What are some environmental factors that can cause pancreatic cancer? - ANSWER
smoking
high dietary intake of fat and red meat
Glucose intolerance
What do 90-95% of pancreatic cancers arise from? - ANSWER exocrine part of gland
, resulting in *adenocarcinoma*
What are examples of some pancreatic cancers that arise from the endocrine part of the
pancreas glands? - ANSWER Insulinoma
glucagonima
VIPomas
Somatostatinomas
Gastrinomas
Where are most pancreatic cancers located: head, body, tail? - ANSWER HEAD : 75%
Why is it hard to diagnose pancreatic tumors early? - ANSWER most patients are
*asymptomatic*
What location of pancreatic tumor usually produces symptoms earlier than other
locations: head, body or tail? - ANSWER HEAD
What are the most common symptoms, if any, for a patient with pancreatic cancer? -
ANSWER Jaundice
Abdominal pain
*weight loss*
What is the number one diagnostic tool to CONFIRM pancreatic cancer? Why? -
ANSWER CT
*determines respectability by ruling out distant METS, vascular encasement, and
occlusion of portal or superior mesenteric vein*
What type of imaging allows for differentiation between benign and malignant disease,
allows tissue acquisition and relief of biliary/pancreatic obstruction? - ANSWER ERCP
(endoscopic retrograde cholangiopancreatography)
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