Diagnosis and Prognosis of Pancreatic Cancer
by Michael Jubinville, MPH
Your doctor will ask you about your symptoms, and health and family history. Your belly and the areas around it will be thoroughly checked. Your doctor will look for other causes of the problems you’re having.
Suspicion of Pancreatic Cancer
You will need more tests if your doctor thinks you have problems with your pancreas. Tests can help find cancer or other problems, such as pancreatitis. These may be:
Diagnosis of Pancreatic Cancer
Diagnosis of pancreatic cancer is confirmed with a biopsy. A biopsy is done during an ERCP, laparoscopy, or through a fine needle aspiration (FNA). With FNA, a small needle is placed into the belly and into the pancreas. This will also help find out what type of cancer it is.
Staging of Pancreatic Cancer
If pancreatic cancer is found, results from finished tests and new tests will help find out what stage it is in. The stage is based on what the tumor looks like during testing. It will help your doctors come up with ways to treat it. The stage of cancer is based on where the tumor is and how far it has spread.
Tests that help with cancer stage are:
Stages of Pancreatic Cancer
Pancreatic cancer is staged from 0-4:
Other methods can be used when planning treatment. The stages are based on whether the tumor can be taken out. These stages are:
Prognosis is the forecast of the likely course of a disease. It is most often given as a percent of people with cancer who may survive over 5 or 10 years. This is an inexact way of getting this data. This is because the predictions are based on large groups of people who are in different stages of cancer. Doing it this way for one person isn’t perfect and somewhat flawed, but it’s the only method at hand.
Pancreatic cancer is often found in later stages. As a result, the number of people who survive for 5 years or more after it has been found is very small, perhaps as low as 5%. About 21% of all those with pancreatic cancer survive for a year after diagnosis.
De La Cruz MD, Young AP, et al. Diagnosis and management of pancreatic cancer. Am Fam Physician. 2014;89(8):626-632.
General information about pancreatic cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq. Accessed October 3, 2020.
Pancreatic cancer. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/pancreatic-adenocarcinoma. Accessed October 3, 2020.
Stages of pancreatic cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq#section/_139. Accessed October 3, 2020.
Tests for pancreatic cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/pancreatic-cancer/detection-diagnosis-staging/how-diagnosed.html. Accessed October 3, 2020.
Last reviewed September 2020 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 12/15/2020
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