Pancreatic Cancer

Etiology

  • Primary adeno of pancreas, but can also be mets

Risk Factors

  • Age > 40
  • Fam hx
  • Smoking
  • Longstanding DM
  • Chronic pancreatitis

Symptoms

  • Anorexia
  • Weight loss
  • Classic head of pancreas cancer presents w/subacute and progressive painless jaundice
  • Sometimes diarrhea
  • Sometimes epigastric area pain
  • Radiates to back

Physical Exam Findings

  • Jaundice
  • Icterus
  • Dark urine
  • Typically mass not present unless mets to liver
  • Light stools if biliary obstruction