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Pancreatic%20cancer Management
Follow Up
- Assess for suspected recurrence
- Patients with poor prognostic or high-risk features for disseminated disease include patients with:
- Large primary tumors
- Large regional lymph nodes
- Markedly elevated CA 19-9
- Extreme pain, excessive weight loss or highly symptomatic
- Borderline resectable tumors
- Recommended follow-up schedules:
- 1st 2 years: History and physical examination, CA 19-9 and CT scan every 3-6 months
- 3rd year and thereafter: History and physical examination, CA 19-9 and CT scan annually
- For post-op patients:
- If with elevated serum CA 19-9 levels, serum CA should be measured every 3 months for 2 years and abdominal CT scan performed every 6 months
- Insulin therapy may be prescribed after total pancreatectomy
Prevention
- There are no definite measures to prevent PC but there are measures which can lower the risk for pancreatic cancer
- Avoid or limit consumption of alcohol
- Increase consumption of vegetables and whole grains
- Decrease consumption of sugar
- Avoid exposure to certain chemicals
- Most established and most avoidable risk factor for PC
- Patients should be discouraged from smoking, or for smokers, encouraged to quit smoking
- Maintain normal body weight
