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Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment【電子書籍】[ Kenneth Kee ]

＜p＞Pancreatic Cancer＜/p＞＜p＞A 70 year patient of mine had chronic gastric pains for many years which improved with medications.＜/p＞＜p＞I have always advised him to see a specialist for a gastroscopy.＜/p＞＜p＞Eventually he went and the gastroscopy did show the presence of gastric ulcers and the bacterium Helicobacter pylori.＜br /＞With treatment of the gastric ulcer and bacteria, further gastroscopy showed that the stomach was clear of ulcers and bacteria.＜br /＞However the pain persisted.＜/p＞＜p＞So he went to see all the specialists in Singapore, America, Europe and United Kingdom.＜br /＞All the tests did not showed any serious illness.＜/p＞＜p＞As the pain became worse, a MRI of the pancreas finally confirmed the presence of Cancer of the Pancreas.＜br /＞By that time the cancer had spread to the liver and other parts of the body.＜br /＞Treatment was only palliative.＜/p＞＜p＞Although a multimillionaire all his money could not get him a recovery and he finally succumbed to his illness.＜br /＞Cancer of the Pancreas is one of the difficult cancers to detect and cure＜/p＞＜p＞One other example is the late Steve Jobs who died of pancreatic cancer.＜/p＞＜p＞What is Pancreatic Cancer?＜/p＞＜p＞Pancreatic Cancer is a malignant disease of the exocrine pancreas.90% are adenocarcinomas.＜/p＞＜p＞What are the causes of Pancreatic Cancer?＜/p＞＜p＞1. Smoking. cigarettes smoke chemicals has been known to damage the pancreatic cells＜/p＞＜p＞2. Diets rich in red meat- high protein tends to stimulate more enzymes from pancreas and cause dysfunction in the cells＜/p＞＜p＞3. Diabetes mellitus -damage to islets in pancreas may contribute to pancreatic cancer＜/p＞＜p＞4. Chronic pancreatitis has been found to have some causal effect.＜/p＞＜p＞5. Helicobacter pylori infection -known to cause stomach cancer and also pancreatic cancer＜/p＞＜p＞6. Occupational exposure to certain chemicals including insecticides＜/p＞＜p＞7. Family history -there is a family history in 5-10% of pancreatic cancer patients＜/p＞＜p＞8. Obesity - the high fat diet may induce more disease of bile system with blockage of its tract.＜/p＞＜p＞What are the symptoms and signs of Pancreatic Cancer?＜/p＞＜p＞Symptoms are non-specific and varied.＜/p＞＜p＞1. Pain in the upper abdomen that typically radiates to the back.＜/p＞＜p＞2. Pain relieved by leaning forward＜/p＞＜p＞3. Painless jaundice related to bile duct obstruction (carcinoma of the head of the pancreas)＜/p＞＜p＞4. Depression is sometimes associated with pancreatic cancer＜/p＞＜p＞Signs:＜/p＞＜p＞1. Tenderness in upper abdomen＜/p＞＜p＞2. Mass in the abdomen＜/p＞＜p＞3. Trousseau sign＜/p＞＜p＞Spontaneous blood clots in veins of extremities or the superficial veins may indicate presence of pancreatic cancer＜/p＞＜p＞How is the Diagnosis of Pancreatic Cancer made?＜/p＞＜p＞Diagnosis can usually be made by:＜/p＞＜p＞1. Pain in upper abdomen radiating straight to the back, worse on eating＜/p＞＜p＞2. Weight loss severe with anorexia, early satiety, diarrhea, or steatorrhea＜/p＞＜p＞3. Jaundice - initially painless, itchy with dark urine＜br /＞Painful jaundice occurs later＜/p＞＜p＞4. Onset of atypical diabetes mellitus＜/p＞＜p＞5. Unexplained recent thrombophlebitis＜/p＞＜p＞6. Past history of pancreatitis＜/p＞＜p＞7. Location of cancer＜/p＞＜p＞a. Tumors in the pancreatic body or tail usually present with pain and weight loss＜/p＞＜p＞b. Tumors in the head of the gland typically present with steatorrhea, weight loss, and jaundice＜/p＞＜p＞8. Courvoisier sign presence of jaundice and a painlessly distended gallbladder is suggestive of pancreatic cancer＜/p＞＜p＞9. Liver function tests (LFT)＜/p＞＜p＞LFT may show a combination of results indicative of bile duct obstruction (raised conjugated bilirubin, SGGT and alkaline phosphatase levels)＜/p＞＜p＞10. Blood CA19-9 (carbohydrate antigen 19.9)＜/p＞＜p＞11. Endoscopic ultrasound (EUS) is another procedure that can help visualize the tumor and obtain tissue to establish the diagnosis.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。

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