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Pancreas cancer

Pancreas cancer screening

1) Localization: the pancreas is a gland that makes insulin and hormones, plus digestive enzymes. Pancreatic cancer develops from the ducts carrying the digestive juices. The organ is described as having three parts: head, body and tail of pancreas.

Cancer spreads from lymph nodes to liver, lungs, peritoneum. 32 000 cases per year in the US, with poor prognosis, because of late discovery and very difficult surgical access.

2) Risk factors of pancreatic cancer:
- some food factors, such as sugar, coffee abuse;
- favoured with tobacco, diabetes, often preceded by chronic pancreatitis;
- more men than women are concerned (2 to 1); the mean age is 65; African Americans more than Asians or whites.

3) Growth: pancreatic cancer is often associated with stomach cancer, the proximity of these organs making it difficult to establish the original cancer.

4) Symptoms:
- the most frequent sign is jaundice, caused by compression of the bile duct which crosses the pancreas: dark urine, yellow skin, yellow eyes, pale stool, itching;
- weakness, weight loss, nausea;
- stabbing pains in across the upper abdomen.

5) Diagnosis of pancreatic cancer:
- clinical exam: signs for jaundice, liver cirrhosis;
- transabdominal ultrasound; endoscopy:
retrograde cholangiopancreatography, with biopsies; scanner.
- the tumor marker assays: CEA, CA 19-9, CA 72-4.
The most effective strategy includes :
1) ultrafast EBT body scanner, EBT better than more common spiral CT scans because extremely low radiation, (as performed by our partners :
-"Colorado Heart & Body Imaging", CO, Denver, USA,,
-"Lifescore", CA, San Diego, USA,,
-and the "Monaco Life Check Center", Monaco,, EBT combines low radiation, high speed and high resolution to create unique pictures of the head, neck, chest and abdomen),
2) and cancer check-up blood test CancersafeŽtest.

6) Treatment:
- surgery: depending on the localization on the pancreas, the size, the stage. The head of pancreas can be removed, part of small intestine, stomach, gallbladder, spleen. This is a major operation and very delicate surgery, that can be attempted if the tumor is resectable and if there are no metastases.
- radiation and chemotherapy, in cases of non resectable tumors, can lead to some remissions.

7) Follow-up: using the tumor marker dosages.

8) Prevention:
- diabetes appropriate monitoring;
- no-tobacco use (once again);
- tumor marker test.

The above-mentioned tumor markers are part of the CancersafeŽ test; performing this panel once a year is highly recommended.

Cancer can be detected : do it NOW.

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