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Pancreatic Cancer

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Pancreatic Cancer
Wendy Carlin
Unit 4 Capstone Project: Pancreatic Cancer
Kaplan University
6/25/2013

Abstract

Andre is a 69-year-old man who was just diagnosed with pancreatic cancer. He owns a chain of Italian restaurants and is well known in the community. He is married and has a large family including children, grandchildren and great-grandchildren. Every holiday all of his family is treated to a home cooked meal that Andre prepares himself. This year he is concerned that he may not be able to cook for an upcoming holiday. This saddens Andre and he feels depressed.

Pancreatic Cancer is a cancer that starts in the tissues of the pancreas and because the pancreas is a gland, the most common type of pancreatic cancer is adenocarcinoma. Adeno means relating to a gland and carcinoma is cancer, so adenocarcinoma is cancer of a gland. (Mandal, Dr.) The average age of people with pancreatic cancer is between 70 and 80, and it is more common in men than women. There are two ways a pancreatic cancer can be diagnosed; clinically and pathologically. A clinical diagnosis is done by radiology and or the physician’s evaluation by lab test and the physical exam. A pathological diagnosis is by taking a tissue sample from the primary or metastatic (cancer spread) site and having a pathologist exam the tissue. By looking at these cells, the pathologist can tell if there is cancer and what the primary site is. Because the pancreas is located deep within the body, it is hard for a physician to feel any masses or abnormalities of the pancreas so additional diagnostic procedures are required. The most common way to obtain a clinical diagnosis of pancreatic cancer is with a CT scan. These scans have the ability to see if there are any masses in the pancreas, the size of the mass, if it has spread or involves any other organs. ("How is pancreatic," 2013) There are no blood tests that can diagnosis pancreatic cancer, but there is a blood test that measures the levels of tumor associated antigens in the blood. The tumor maker commonly used for pancreatic cancer is called CA19-9. The normal level of CA19-9 in the blood is 0-37 units per milliliter. ("Diagnosis: CA19-9," 2013) This level can be elevated in the blood of patients with pancreatic cancer. Not all patients diagnosed with pancreatic cancer will have an elevated CA19-9 and it does not mean patients with an elevation of CA19-9 has cancer; it is used a diagnostic tool along with other testing when there is a suspicion of pancreatic cancer. Because the pancreas is located deep within the body, it is not very easy to obtain a tissue sample, but there are procedures that can be done to obtain these samples. One of these procedures is an Endoscopic Retrograde Cholangiopancreatography, also known as an ERCP. This is done by inserting a flexible endoscope into the esophagus, through the stomach and into the duodenum. From here a cannula is inserted into the pancreatic duct and samples can be taken. ("Diagnosis of pancreatic," 2013) These samples are usually of pancreatic juices and are tested by cytology. Another procedure that can be completed is an Endoscopic Ultra-Sound or and EUS for short. Like the ERCP this is also an endoscope with an ultrasound devise attached to the tip that is passed into the stomach. This procedure can tell if the cancer has invaded into lymph nodes, large blood vessels like the pancreatic vein, or other organs. This again has the ability to obtain a sample by inserting a small needle through the endoscope and directing it with the ultrasound. . ("Diagnosis of pancreatic," 2013) When a patient has been diagnosed with pancreatic cancer they are more than likely willing to try any method to try and cure their cancer, but at this time there is no Complementary and Alternative Medicine found to cure pancreatic cancer. There are several options to help with the signs and symptoms including: exercise, music and art therapy, mediation, and spirituality. ("Alternative medicine," 2012) The patient should discuss these options with their provider.

References

Alternative medicine. (2012, April 12). Retrieved from http://www.mayoclinic.com/health/pancreatic-cancer/DS00357/DSECTION=alternative-medicine
Diagnosis: Ca19-9. (2013). Retrieved from http://www.pancan.org/section_facing_pancreatic_cancer/learn_about_pan_cancer/diagnosis/CA19_9.php
Diagnosis of pancreatic cancer. (2013). Retrieved from http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.891877/k.3BFB/Diagnosis_of_Pancreatic_Cancer.htm How is pancreatic cancer found?. (2013, Febuary 13). Retrieved from http://www.cancer.org/cancer/pancreaticcancer/overviewguide/pancreatic-cancer-overview-diagnosed Mandal, Dr., A. (n.d.). What is adenocarcinoma?. Retrieved from http://www.news-medical.net/health/What-is-an-Adenocarcinoma.aspx

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