The pancreas lies behind the stomach and in front of the spine. There are two kinds of cells in the pancreas. Exocrine pancreas cells make enzymes that are released into the small intestine to help the body digest food. Neuroendocrine pancreas cells (such as islet cells) make several hormones, including insulin and glucagon, which help control sugar levels in the blood.
Most pancreatic cancers form in exocrine cells. These tumors do not secrete hormones and do not cause signs or symptoms. This makes it hard to diagnose this type of pancreatic cancer early.
Having a risk factor, or even several risk factors, does not mean that you will get the disease. Many people who who develop pancreatic cancer may have few or no known risk factors.
Early pancreatic cancers often do not cause any signs or symptoms. By the time they do cause symptoms, they have often already grown through the pancreas or spread beyond it.
Pancreatic cancer is hard to find early. The pancreas is deep inside the body, so early tumors can’t be seen or felt by health care providers during routine physical exams. Patients usually have no symptoms until the cancer has already spread to other organs.
Screening tests or exams are used to look for a disease in people who have no symptoms (and who have not had that disease before). At this time, no major professional groups recommend routine screening for pancreatic cancer in people who are at average risk.
After the cancer is found and staged, your cancer care team will discuss treatment options with you. It is important that you take time to think about your choices. You will want to weigh the benefits of each treatment option against the possible risks and side effects. In choosing a treatment plan, two of the main factors to consider are whether or not the cancer can be removed (resected) with surgery and your overall health.
The main types of treatment for pancreatic cancer are:
For pancreatic neuroendocrine tumors (NETs), treatment options might include surgery, ablation or embolization treatments, radiation therapy, or different types of medicines.
Ken talks about how, although a cancer diagnosis can feel like a death sentence, as he says, “There’s a whole community in Greenville to help you get through the death sentence.”