Pancreatic cancer develops when cells in the pancreas undergo mutations and uncontrollably multiply, forming a tumor. The pancreas, located in the abdomen between the spine and stomach, produces hormones regulating blood sugar and enzymes aiding digestion.
Most pancreatic cancers originate in the pancreatic ducts, particularly the main pancreatic duct known as the duct of Wirsung, which connects to the common bile duct.
Early-stage pancreatic tumors often escape detection on imaging tests, leading to delayed diagnosis until the cancer has metastasized. Moreover, pancreatic cancer is challenging to treat as it shows resistance to many standard cancer drugs.
Pancreatic tumors are primarily categorized into two types:
Early signs of pancreatic cancer are rare, and symptoms typically manifest once the tumor affects other digestive organs. Common pancreatic cancer symptoms include:
Healthcare providers may suspect pancreatic cancer if you develop diabetes or pancreatitis recently, which is inflammation in the pancreas causing severe pain.
Neuroendocrine pancreatic cancer symptoms may differ from typical pancreatic cancer symptoms and can include diarrhea and anemia.
Pancreatic cancer often doesn't present clear early signs, and some individuals experience vague symptoms up to a year before diagnosis. Many people mention that their initial symptoms of pancreatic cancer were either back pain or stomach pain. Initially, these symptoms may be intermittent but can worsen after meals or when lying down.
Pancreatic cancer's exact cause remains unclear, but experts have identified several risk factors associated with it:
Pancreatic cancer commonly metastasizes to nearby blood vessels, lymph nodes, the liver, peritoneum (abdominal cavity lining), and lungs. At the time of diagnosis, most pancreatic cancers have already spread beyond the pancreas.