PANCREATIC CARCINOMA

Overviews:

Measures:

Lab Studies:

Additional Lab Studies in a suspected case of neoplasm of the endocrine pancreas:

Tumour Markers:

  • American Association of Clinical Chemistry: Cancer Antigen 19-9 (CA 19-9): Chemically, it is a sialylated oligosaccharide. In cancer patients, it is most often found on circulating mucins. It is normally found in the biliary tract cells and thus its levels can be found raised in patients with acute or chronic biliary disease. If investigations confirm absence of biliary disease, a CA 19-9 value of >100U/mL is highly suggestive of pancreatic malignancy - http://www.labtestsonline.org/understanding/analytes/ca19_9/glance.html

  • American Association of Clinical Chemistry: Carcinoembryonic Antigen (CEA): It is quite non-specific. Elevated levels can be found in many malignancies like colorectal, lung, breast, thyroid, pancreatic, liver, cervix, and bladder. Its levels are found raised in non-cancerous conditions as well like hepatitis, COPD, colitis, pancreatitis, and in cigarette smokers - http://www.labtestsonline.org/understanding/analytes/cea/glance.html

Imaging Studies:

Computed Tomography (CT) of the Abdomen and Pelvis:

Transcutaneous Ultrasonography:

Endoscopic Ultrasound:

ERCP (Endoscopic Retrograde Cholangiopancreatography):

Magnetic Resonance Imaging (MRI):

 

FDG-PET Scintigraphy:

Bone Scan:

Diagnostic Laparoscopy:

Pancreatic Cancer Screening:

Statistics:

Questionnaire:


Document Provenance and History

Document Author: Dr. Fazal Danish

Document Created: 8th May 2006

Document Edits:

 


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