$Unique_ID{BRK02191} $Pretitle{} $Title{Ductal Cancer of the Pancreas} $Subject{Ductal Cancer Pancreas cells carry secretions jaundice bile adenocarcinoma silent weight loss severe abdominal pain ultrasound CT computer tomography tumor biopsy needle chemotherapy drugs radiation Treatment relief } $Volume{} $Log{ Anatomy of the Pancreas*0016601.scf} Copyright (c) 1993 Tribune Media Services, Inc. Ductal Cancer of the Pancreas ------------------------------------------------------------------------------ QUESTION: After a brutal illness, my brother-in-law just died of pancreas cancer. They called it ductal cancer. What does it mean? Do you think there was anything that could have been done to save him? The family would appreciate help in finding answers to their questions. ------------------------------------------------------------------------------ ANSWER: When a loved one passes on, the families often search for answers to questions that, in fact, have no answers. I'll provide some information that I hope will help. Ductal cancer of the pancreas means that it arose from cells in the pancreas that carry the secretions rather than cells that make the secretions. Such tumors are the most common, and about 80 percent occur in the head of the pancreas, and can cause jaundice by blocking the flow of bile. Ductal adenocarcinoma is twice as common in men than women, and appears most frequently between 50 and 60 years of age. It is a silent cancer, and by the time symptoms are noticed, it has progressed to the point where surgery is difficult if not impossible. The most common symptom is weight loss and severe abdominal pain, but these develop late. Routine laboratory tests are often normal, but ultrasound and CT (computer tomography) techniques may locate a tumor. However, confirmation would require a biopsy of the tissue, which can be obtained by guiding a needle to the tumor through the skin. Treatment with drugs (chemotherapy) is disappointing, neither conquering the disease nor prolonging life. However, if the cancer has already spread, a combination of drugs and radiation are used to offer some assistance and relief. From the material you included with your letter, it would appear that all that could be done was done to help. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.