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Pancreas Cancer
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FAQs
1 The Pancreas
2 Pancreatic Cancer
3 Causes of PC
4 Heredity
5 Risk Factors
6 Diagnosis
7 Metastasis
8 Staging
9 Questions to ask
10 Surgical Treatment
11 Medical Treatment
12 Vaccine
13 Symptoms & Side Effects
14 Screening
15 Pain Management
16 Diet & Exercise
17 Final Stages & Hospice


Glossary of Terms
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Pancreas An oblong organ located between the stomach and the spine. The pancreas secretes enzymes needed for the digestion of food and it produces hormones such as insulin and glucagon which help control blood sugar.
Palliative Any treatment that reduces the severity of a disease or its symptoms.
Papillary A term used to describe certain tumors which grow in finger-like projections. Pathologists mostly use this term.
Pathologist A medical doctor specially trained to study disease processes.
Peri-ampullary Around the ampulla of Vater. The peri-ampullary region is comprised of 4 structures; the ampulla, the duodenum, the bile duct and the head of the pancreas. It is sometimes difficult to tell which structure a tumor originated in. In such cases the diagnosis will be a peri-ampullary tumor.
Phytochemistry The biochemical study of plants; concerned with the identification, biosynthesis, metabolism of chemical constituents of plants; especially in regards to natural products.
Primary cancer         A cancer in the organ it started in. A primary cancer of the pancreas is one that started in the pancreas as oppossed to a cancer that started somewhere else and only later spread to the pancreas.
Prognosis A forecast for the probable outcome of a disease based on the experience of large numbers of other patients with similar stage disease. Importantly, making a prognosis is not an exact science. Some patients with poor prognosis beat the odds and live longer than anyone would have predicted. Steve Dunn's Cancer Guide has an excellent article on statistics and prognoses and stories of other cancer patients.
Pylorus A thick ring of muscle (a sphincter) between the stomach and duodenum. This sphincter helps control the release of the stomach contents into the small intestine.
Radiation Therapy The use of high-energy waves similar to x-rays to treat a cancer. Radiation therapy is usually used to treat a local area of disease and often is given in combination with chemotherapy.
Resectable Able to be removed surgically.
Sarcoma A malignant tumor that mimics connective tissues (bone, cartilage, muscle) under the microscope.
Sepsis An infection of the blood.
Small intestine A long (20 foot) tube that stretches from the stomach to the large intestine. It helps absorb nutrients from food as the food is transported to the large intestine. There are three sections: the duodenum, the jejunum and the ileum. Due to its proximity to the pancreas, the duodenum is the section most often affected by pancreatic cancer.
Spleen A maroon, rounded organ in the upper left part of the abdomen, near the tail of the pancreas. This organ is part of your immune system and filters the lymph and blood in your body.
Squamous cell A flat, scale-like cell.
Stage A classification system used to describe the extent of disease. For pancreatic cancer:

Stage I refers to tumors confined to the pancreas and tumors which have only extended into the duodenum, bile duct or soft tissues immediately around the pancreas.

Stage II cancers have extended into the spleen, stomach, large intestine or adjacent large vessels.

Stage III tumors have spread to regional lymph nodes and

Stage IV have spread (metastasized) to distant sites such as the liver.

In general, the lower the stage, the better the prognosis.
Steatorrhea Excessive amounts of fat in the stool. Sometimes this can appear as an oil slick on top of the toilet water after the patient has had a bowel movement.
Stent A slender hollow tube inserted into the body to relieve a blockage. For example, pancreas cancers often grow into the bile duct as it passes through the pancreas. This can block the flow of bile and cause the patient to become jaundiced. In these cases the flow of bile can be reestablished by placing a stent into the bile duct, through the area of blockage.
Reference: The Johns Hopkins Family Health Book; Michael J. Klag Editor, Harper Collins Pub., 1999.
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This site is supported by generous educational grants from the Vesalius Trust

Disclaimer: No two patients with pancreas cancer are identical. The appropriate treatment of individual patients with pancreatic cancer varies greatly depending on the patient's medical and surgical history. The information expressed in this Web page is not medical advice. It is meant only to educate health care professionals and patients about the current status of treatment and research in pancreas cancer at Hopkins. Before making any medical decisions, patients with pancreatic cancer are advised to consult with their personal physicians.