Borderline Resectable Pancreatic Cancer
Depending on the location of stage 2A, stage 2B and stage 3 pancreatic cancers, treatment often involves resection in combination with neoadjuvant treatment to shrink the tumor before surgery takes place. Borderline resectable pancreatic cancer has grown into nearby tissues, organs or a major blood vessel. Although it may be possible to remove the tumor, surgeons may not be able to extract all of the cancer via surgery. Adjuvant treatment via chemotherapy or radiation may be performed after surgery to help destroy remaining cancer cells.
What Questions Should I Ask My Healthcare Provider
Develop an open and cooperative relationship with your healthcare provider. Take a list of questions with you so you remember to get the answers you need to live your best life. These questions might include:
- What stage is the cancer? What does this mean for me?
- What are my treatment options? Which do you recommend and why?
- What side effects might I develop as a result of treatment?
- Is genetic testing right for me?
- Am I able to be a part of a clinical trial?
- Will I be able to keep working and doing the things that I need or want to do every day?
- Are there situations in which I need to call you immediately or get emergency care?
- Can you tell me where to find financial support?
- Can you tell me where to find emotional support?
- What should I do to stay as healthy as I can?
Make sure to follow the plan that you and your provider agree on. Keep to the schedule of follow-up appointments and testing.
What Are The Risk Factors For Pancreatic Cancer
The average lifetime risk of developing pancreatic cancer is about 1 in 64. A risk factor is something that raises the chance that you will get a disease. There are risk factors that are a result of behavior and that can be changed. For pancreatic cancer, these types of risk factors include:
- Smoking cigarettes, cigars and using other forms of tobacco.
- Obesity is also a risk factor. Carrying weight around the waist is a risk factor even if you do not have obesity.
- Having diabetes, especially type 2 diabetes, which is linked to obesity. The new development of diabetes at an older age and in someone with a normal weight or body mass index could be a sign of pancreatic cancer.
- Being exposed to chemicals used by dry cleaners and metal workers.
- Having chronic pancreatitis, a permanent inflammation of the pancreas usually associated with smoking and drinking a lot of alcohol.
There are also risk factors that you cant change. These include:
- Hereditary chronic pancreatitis due to gene changes passed from parent to child.
- Hereditary syndromes with gene changes in genes such as BRCA genes passed from parent to child.
- Being older than 45.
- Being of Ashkenazi Jewish descent.
Your healthcare provider might suspect pancreatic cancer if you have certain symptoms or if youve recently developed diabetes or pancreatitis.
What Are Symptoms Of Advanced Pancreatic Cancer
Pancreatic cancer may cause only vague, unexplained symptoms, such as:
- Pain, usually in the abdomen or back
- Recent-onset diabetes
If you are experiencing one or more of these symptoms, speak to your doctor immediately and reference pancreatic cancer.
Many of these symptoms can show at any stage. A person with advanced pancreatic cancer may also have ascites , fatigue and blood clots.
Verification For Clinical Materials
All the cases were first reviewed by two doctors at each participating hospital, and then, the clinical data was transferred to Shanghai Cancer Center. Two experienced doctors at Shanghai Cancer Center went through these clinical materials again to determine the cases for inclusion. If divergent suggestions were given, a third doctor would be consulted for the final assessment of inclusion or exclusion.
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Antibiotics And Gut Health: What Goes Wrong
Antibiotics have one job: kill bacteria and stop them from multiplying. However, this simple task is what leads to a disruption in your gut microbiome.
Antibiotics cannot tell the difference between good bacteria and bad bacteria. Their job is to simply go to your gut and kill bacteria. They dont discriminate between the good and bad.
When antibiotics enter your system and kill off bacteria seemingly at random, your balance of good and bad bacteria can be thrown out of wack. This is a major issue as the good bacteria in your system play a vital role in protecting you from issues such as SIBO or Candida overgrowth. As the number of good bacteria in your gut decreases, you become susceptible to overgrowths of other organisms, including a yeast called Candida.
While a small amount of yeast is normal and necessary, Candida is opportunistic. If given the chance, such as antibiotic usage killing off protective good bacteria, it will grow and multiply quickly especially when its fed sugar, carbohydrates, or alcohol. When yeast starts to multiply, it can damage the lining of your intestinal walls. This leads to increased intestinal permeability and whats known as leaky gut.
Open Surgical Microwave Ablation
Tumors that cannot be removed surgically can sometimes be eliminated by microwave ablation. This technology uses electrical energy that is converted into heat, which can be used to burn liver tumors. Cell death and tumor destruction can be achieved without harming the liver. This procedure can be performed either as open or laparoscopic surgery by a skilled surgeon, or as a CT-guided procedure by a skilled interventional radiologist.
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How Is Pancreatic Cancer Treated
Pancreatic cancer treatment depends on certain things, including where the tumor is located, what stage it is in, how healthy you are and whether or not the cancer has spread beyond the pancreas. Treatment options include:
- Surgical removal: The cancerous part of the pancreas is removed. Lymph nodes near to the pancreas may also be removed. The surgery to remove the pancreas or part of the pancreas is called a pancreatectomy. If your tumor is located in the head of the pancreas, your provider may recommend the Whipple procedure. This surgical method removes the head of the pancreas, the duodenum , the gallbladder, a portion of the bile duct and nearby lymph nodes.
- Radiation therapy: High-speed energy used to kill the cancer cells.
- Chemotherapy: This method uses drugs that kill cancer cells.
- Immunotherapy: Treatment to help your body fight the cancer. Immunotherapy has largely been ineffective against pancreatic cancer, but about 1% of people with pancreatic cancer and a specific genetic change may benefit from it.
- Targeted therapy: Directed at certain genes or proteins that help cancer grow. Genetic testing is generally how we determine if a targeted therapy is right for you.
- Clinical trials: Talk to your healthcare provider about whether participating in a clinical trial might be an option.
Other things to know about treatment:
Study Discovers How Pancreatic Cancer Spreads To The Liver
MIF-expressing pancreatic cancer exosomes induce/prepare liver metastasis. Pancreatic cancer exosomes induce liver fibrosis and immune cells accumulate.Image credit: Dr. Bruno Costa da Silva and Dr. David Lyden
An international team led by Weill Cornell Medical College investigators has illuminated the precise molecular steps that enable pancreatic cancer to spread to the liver the event that makes the most common form of the disease lethal. By understanding this process, investigators say their discovery can lead to targeted treatments that delay metastasis, and could offer clinicians a new biomarker to test for the earliest signs of pancreatic cancer.
This infographic illustrates the precise molecular steps that enable pancreatic cancer to spread to the liver.
The study, published May 18 in Nature Cell Biology, focuses on the role of small, spherical tumor-secreted packages, called exosomes, which contain tumor-derived proteins, in preparing a liver microenvironment fertile for pancreatic cancer metastasis.
Nearly 49,000 people in the United States will be diagnosed with pancreatic cancer, and more than 40,000 of them will succumb to it, according to estimates from the American Cancer Society. Pancreatic cancers are among the most lethal cancers only six percent of patients survive five years after diagnosis, with the median survival rate being just six months.
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What Is The Life Expectancy Of Someone With Pancreatic Cancer
Pancreatic cancer is usually not found until it has become advanced. Therefore, it is one of the leading causes of cancer deaths. After one year, the pancreatic cancer survival rate is about 20%. After five years, that number drops to about 6%. Every year, about 3,000 more people die of pancreatic cancer than die of breast cancer in the United States.
If surgery can be performed and you have a section of your pancreas removed, the average survival rate is 18 to 20 months. The five-year survival rate in such cases rises to 10 to 25%.
When It Comes To Pancreatic Cancer Does It Always Have A Fatal Outcome
Pancreatic cancer is uncommon compared to other cancers. However, it is the third largest cause of mortality from cancer in the United States. Five years after their diagnosis, just 8.5% of patients with pancreatic cancer are still living. This kind of cancer has one of the worst survival rates of any.
Can You Survive Pancreatic Cancer That Has Spread To The Liver
More than 50% of patients with pancreatic cancer have liver metastases at the time of diagnosis and is associated with a poor prognosis. For patients with resectable disease, surgery is the treatment of choice, and it has been moderately effective, with 5-year survival rates ranging from 20% to 25%.
/7the Dangers Of Advanced Pancreatic Cancer
The charity defines advanced pancreatic cancer as the cancer that has spread from where it started, or has come back some time after treatment .
Experts believe pancreatic cancer is rare and often comes with no symptoms and therefore, when it is first diagnosed, it can be quite advanced.
Sometimes the symptoms only appear at a later stage. As per the charity, the most common place for pancreatic cancer to spread to is the liver. It can also spread to the lungs, within the abdomen or to nearby lymph nodes. Only rarely does it spread to the bone. So, depending on where the cancer spreads, let us look at the symptoms.
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Ways To Improve Your Gut Bacteria Based On Science
There are around 40 trillion bacteria in your body, most of which are found in your gut.
Collectively, they are known as your gut microbiome, and theyre incredibly important for overall health. However, certain types of bacteria in your intestines can also contribute to many diseases.
Many factors, including the foods you eat, can impact the type of bacteria found in your digestive tract.
Here are 9 science-based ways to improve your gut bacteria.
How Is The Stage Determined
The staging system used most often for pancreatic cancer is the AJCC TNM system, which is based on 3 key pieces of information:
- The extent of the tumor : How large is the tumor and has it grown outside the pancreas into nearby blood vessels?
- The spread to nearby lymph nodes: Has the cancer spread to nearby lymph nodes? If so, how many of the lymph nodes have cancer?
- The spread to distant sites : Has the cancer spread to distant lymph nodes or distant organs such as the liver, peritoneum , lungs or bones?
The system described below is the most recent AJCC system, effective January 2018. It is used to stage most pancreatic cancers except for well-differentiated pancreatic neuroendocrine tumors , which have their own staging system.
Numbers or letters after T, N, and M provide more details about each of these factors. Higher numbers mean the cancer is more advanced. Once a persons T, N, and M categories have been determined, this information is combined in a process called stage grouping to assign an overall stage.
Cancer staging can be complex. If you have any questions about your stage, please ask your doctor to explain it to you in a way you understand.
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What Probiotics For Antibiotic Side Effects
Typically, it will take the body time to balance the microbiome to healthy, diverse bacteria levels. In fact, research shows that it takes about 6 months to recover from the damage done by antibiotics. And even then, the body might not even be back to its pre-antibiotic state.
Saccharomyces boulardii, a probiotic yeast is particularly good at preventing and alleviating antibiotic-associated diarrhea and travellers diarrhea. Its also a friend to your gut bacteria that supports good bacteria and prevents inflammation.
Lactobacillus acidophilus, a probiotic bacterium best known for being in yoghurt is also great for your gut. Studies show that its good at treating and preventing infections, and reducing the digestive side effects of antibiotics.
Other bacteria that help recover from antibiotic use include:
Univariate And Multivariate Of Os In The Patients With Pancreatic Cancer Metastasis To Liver
As illustrated in Table 3, on the basis of the overall survival , univariate analysis showed that the significant indicators were sex, grade, tumor size, AJCC N stage, histology and treatment in group age < 52 years old marital status, grade, tumor size, histology and treatment in group age 5269 years old and race, grade, AJCC N stage, histology and treatment in group age 6984 years old.
TABLE 3. Univariate and multivariate of OS in the patients with pancreatic cancer metastasis to liver grouped by age at diagnosis.
In multivariate analysis, we further observed the variables selected from univariate analysis . Cox regression analysis was performed to compete hazard ratios and 95% confidence intervals. In the three groups, tumor grade was all associated with poor overall survival, and surgery alone was the best treatment option for the overall survival of patients.
Using AJCC N0 stage as reference, AJCC N1 stage in group age 5269 years and AJCC NX stage in group age 6984 years old were indicated to be associated with poor overall survival, while in group age < 52 years old, AJCC N stage was not correlated with the prognosis. Choosing adenomas and adenocarcinomas as reference in histological types, in addition to ductal and lobular neoplasms in the three groups, other histological types in group age < 52 years old, and epithelial neoplasms in the other two groups were associated with a poor overall survival.
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Symptoms Of Metastatic Pancreatic Cancer
The symptoms of metastatic pancreatic cancer can be challenging to detect and are often confused with those of other conditions. However, there are some early warning signs to look out for, and you should see your physician if you experience any of the following:
- Pain in the back or abdomen which may be worse when lying down or after food
- Loss of appetite
- Dark yellow or orange urine
- Pale or loose stools
- Blood clots or deep vein thrombosis
Many of these symptoms can be associated with other, less serious conditions. However, they should never be ignored. Early diagnosis is key to improving your prognosis, and so the above symptoms should always be investigated urgently.
A History Of Ska: From 1950s Jamaica To 1980s Britain
Ska is a combined musical element of Caribbean mento and calypso with American jazz and rhythm and blues.
It separates itself from other musical genres due to its walking bass line accented with rhythms on the upbeat. In the early 1960s, ska was the dominant music genre of Jamaica and was popular elsewhere, including in Britain.
Ska music was made for dancing. It stands out because the music is upbeat, quick and exciting.
Musically, it can be characterized with a drumbeat on the second and fourth beats and with the guitar hitting the second, third and fourth beats.
Traditional ska bands generally featured bass, drums, guitars, keyboards, and horns with sax, trombone and trumpet being most common.
Music historians typically divide the history of Ska into three periods: The original Jamaican scene of the 1960s the English 2-tone ska revival of the late 1970s and the third wave ska movement, which started in the 1980s and rose to popularity in the US in the 1990s.
Without a doubt ska has set a musical standard for genres that follow it such as reggae and rocksteady.
The Specials were formed in Hall’s home city of Coventry in 1977, by Jerry Dammers, Golding and Panter – with Hall, Staple, Roddy Byers and John Bradbury joining in the following months.
The band were originally called The Automatics, before changing their name to The Coventry Automatics, The Specials AKA The Automatics and finally, in 1978, settling on The Specials.
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What Is The Life Expectancy For Stage 4 Pancreatic Cancer
Life expectancy for pancreatic cancer is often expressed as a 5-year survival rate, which is the number of people who will be alive 5 years after diagnosis. Life expectancy for stage 4 pancreatic cancer is very low, estimated at around three to five months.
What is the link between pancreatic and liver cancer?
Because the liver is the filtration system for the rest of the body, pancreatic cancer is more likely to be the primary cancer and liver cancer secondary. This link between pancreatic and liver cancer is directly related to the spread of diseased cells from the pancreas to the liver.
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Why Is Early Detection Important For Pancreatic Cancer
Today, there is no established way or tool to find pancreatic cancer early.
When diagnosed early, surgery offers the best chance of controlling pancreatic cancer for a long time. Most patients are diagnosed at later stages and are not eligible for surgery, though. So, tests to find pancreatic cancer in the earliest stages are urgently needed.
As early detection study continues and as technology gets better, researchers predict that we will make progress toward finding the disease earlier.
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