How Dr. Nghia Nguyen Diagnoses Pancreatic Cancer?
Dr. Nguyen uses a step-by-step approach:
Medical History and Symptom Review
He asks about your epigastric (upper belly) pain, sudden weight changes, appetite loss, jaundice, new-onset diabetes, and any family history of pancreatic or related cancers.
Physical Exam
He palpates your abdomen to check for tenderness, masses, and signs of bile duct obstruction (jaundice).
Blood Tests
- Pancreatic enzymes (amylase, lipase) to assess inflammation.
- Liver function panel to detect bile duct blockage.
- Tumor marker CA 19-9 to support diagnosis and monitor response.
Imaging Studies
- Contrast-enhanced CT scan to locate a mass, determine size, and check for spread.
- Endoscopic ultrasound (EUS) for high-resolution images of the pancreas and to guide biopsy.
- MRI/MRCP to visualize ducts and detect small tumors or vascular involvement.
Biopsy
Under EUS or CT guidance, he obtains a tissue sample to confirm the cancer type and stage, which drives your personalized treatment plan.
Frequently Asked Questions
Is pancreatic cancer curable?
Early‐stage pancreatic cancer can sometimes be treated successfully with surgery followed by chemotherapy. In later stages, treatment focuses on slowing tumor growth, managing symptoms, and improving quality of life.
What causes pancreatic cancer?
There's no single cause, but common risk factors include older age, smoking or heavy alcohol use, chronic pancreatitis, a family history of pancreatic or related cancers, and certain inherited genetic conditions.
When do symptoms show up?
Pancreatic cancer often has no obvious signs in the early stages. Jaundice (yellowing of the skin and eyes), abdominal or back pain, unexplained weight loss, and new‐onset diabetes may be the first noticeable symptoms.
Can diet help?
Yes. Eating small, frequent, high-protein, low-sugar meals can help maintain your weight and strength. Pancreatic enzyme supplements may be prescribed to aid digestion and nutrient absorption.
What should I know about stage 4 pancreatic cancer?
Stage 4 disease means the cancer has spread beyond the pancreas. Treatment aims to relieve symptoms, slow tumor growth, and maintain the best possible quality of life through chemotherapy, targeted therapies, pain management, and supportive care.
How do I prepare for testing?
Follow any fasting instructions you're given, bring a complete list of your medications, and arrive with any prior imaging or test results. Having a family member or friend with you can be a big help.
Where is GastroDoxs located?
GastroDoxs is based in Houston, Texas, near the Texas Medical Center. Please contact our office to schedule your appointment and get directions.
