Pancreatic Tumors

Advanced Pancreatic Cancer

What To Expect With Advanced Pancreatic Cancer

Advanced Pancreatic Cancer

The advance stage of pancreatic cancer could be of two kinds. It may be localized advanced stage where the cancer may have made its first incursion inside the duodenum which is the first part of the small intestine or the blood vessels. As the spread has been in the related organs closely entangled with the pancreas inside the matrix of the body it is not feasible to remove the pancreas from the body by surgical operation.

As a result a patient who has been diagnosed with the ailment of this stage has to resort to external therapy of radiation which may be with or without chemotherapy, and an option would have to be considered, whether invasive surgery could be done which may facilitate in reduction of the symptoms. There could also be possibility of conducting clinical trials, based on which a dose of radiation therapy or chemotherapy may be performed before a decision is taken to perform surgery. The treatment could also entail a combination of radiation and drugs so as to make the cells which have grown cancerous more amenable and responsive to the radiation therapy, the combination of process also called as radiosensitizers. There also could be possibility of performing chemotherapy and radiation therapy while the surgery has been envisaged, but this may or may not be performed internally, i.e. the radiation may be done externally.

Advanced Pancreatic Cancer

There also could be possibility of placing a stent (wire mesh tube), and therefore the process is also christened as stenting, which entails placing a wired mesh tube to open up bile duct near the liver which has been blocked by the cancerous growth as a result of which the bile has started flowing backward, instead of in the normal course. On account of performing the stent the obstruction that has been made in the bile duct gets removed, and it also brings down the level of jaundice in the body. The redeeming feature of stenting is that it does not involve any incision being made inside the body but is done through the process of endoscopy wherein a tube is inserted through the mouth inside the stomach making its way to the entry point of stomach where the bile ducts empty out the bile.

However, if the cancer has spread to a large area, and is not localized, it is called metastatic cancer as it has been able to affect the liver, pelvic organs, abdominal cavities and lungs. When a patient has reached this stage, the possible line of diagnosis to reduce pain includes, chemotherapy, treating pain and other symptoms, conductance of surgery that may reduce the incidence of pain, as also to conduct clinical trials which are also referred to as immunotherapy wherein the immune system of the body is brought into relief either directly or indirectly to wage the war against cancer and also to treat the side affects that may occur on account of this line of treatment.

Problem of providing the treatment in the advanced stage of cancer is limited by the toxicity and the inconvenience that is also the inability of detection in the earlier stage. The result is the war between toxicity and treatment. It is toxicity that is winning the battle in most of the cases at present.

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