Pancreatic+Cancer

Western Diagnosis 2 types: -ductal adenocarcinoma -endocrine tumors much less common

Incidence
1. average age 55 2. 1.5-2x more in men

Signs & Symptoms
1. sx occur late in disease 2. weight loss in 90% of pts at dx, cachexia 3. severe upper abd pain radiating to back 4. by dx, in 90% of pts, tumor has spread to lymph, liver, lung

Diagnosis
1. lab tests often N 2. US 3. CT if US negative or inconclusive 4. ERP

Treatment
1. 5 yr survival <2% 2. surgery

-400 units/day vitamin D following 120,000 people reduced risk by 43% - 88,378 women followed who take asprin regularly (2 or more regular 325mg sized per week) had a 58% increased risk of pancreatic cancer. Dr. Coletto recommended omega-3's, vitamin C, regular exercise, red wine instead of aspirin
 * Studies**