Japanese Journal of Clinical Oncology 32:391-392 (2002)
© 2002 Foundation for Promotion of Cancer Research
Editorial |
Diagnostic Clues for Early Pancreatic Cancer
Division of Diagnostic Radiology, Shizuoka Cancer Center Hospital, Sunto-gun, Shizuoka, Japan
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Pancreatic cancer is still a difficult diagnostic and therapeutic challenge. Its prognosis is extremely poor because the disease is generally recognized at a very advanced stage and its clinical course is very rapid. Surgery is the only curative treatment for pancreatic cancer and outcome is related mainly to tumor stage. This aggressive approach is effective only if the tumors are detected at an early stage. Early symptoms of pancreatic carcinoma, including weight loss, anorexia, epigastric discomfort and back pain, are often non-specific and vague (1), so diagnosis may be considerably delayed. In many patients with small pancreatic cancer which has a possibility of cure, the tumor was incidentally detected in laboratory tests and/or imaging. We must try to convert such incidental discovery into more certain diagnosis.
The mortality rate from pancreatic cancer, which is almost equal to the incidence
RISK FACTORS AND ASSOCIATED MEDICAL CONDITION
SERUM MARKERS
IMAGING DIAGNOSIS