What Is Pancreatic Cancer?
Pancreatic cancer starts when abnormal cells grow in the pancreas. The pancreas helps digest food and controls blood sugar through insulin. As the tumor grows, it can block these functions, leading to pain, unexplained weight loss, or yellowing of the skin and eyes (jaundice). Early detection improves treatment results and survival rates.
Common Causes and Risk Factors
- Age over 60
- Smoking habits
- Obesity or type 2 diabetes
- Family history of pancreatic cancer
- Long-term inflammation of the pancreas (pancreatitis)
- Chronic heavy alcohol use
Tip: In Houston's climate, staying active, eating a balanced diet, and not smoking may help lower your risk.
Signs and Symptoms
- Pain in the upper abdomen or radiating to the back
- Unintentional weight loss
- Loss of appetite
- Yellowing of skin and eyes (jaundice)
- New-onset or sudden worsening of diabetes
If you notice any of these signs, consult a specialist as soon as possible.
How Dr. Rishi Chadha Diagnoses Pancreatic Cancer
At GastroDoxs in Houston, Dr. Rishi Chadha uses a step-by-step plan:
1. Medical History and Physical Exam
Dr. Chadha reviews your personal and family history, symptoms, risk factors (like smoking or pancreatitis), and performs a thorough abdominal exam.
2. Blood Tests
Laboratory studies check pancreatic enzymes (amylase/lipase), liver function, bilirubin levels and tumor markers (CA 19-9) to screen for dysfunction or malignancy.
3. Cross-Sectional Imaging
- CT scan or MRI of the abdomen to visualize the pancreas, detect masses, assess tumor size and involvement of surrounding vessels or organs.
4. Endoscopic Ultrasound (EUS) with Biopsy
A thin endoscope with high-resolution ultrasound probes is guided into the stomach/duodenum to obtain precise images and tissue samples. Biopsy specimens confirm cancer and help determine its stage.
Once the diagnosis and stage are confirmed, Dr. Chadha tailors a personalized treatment plan'ranging from surgical consultation to chemotherapy, targeted therapy or minimally invasive procedures.
Frequently Asked Questions
What causes pancreatic cancer?
Common risks include smoking, family history, and chronic inflammation of the pancreas.
Can a healthy diet improve survival?
Good nutrition supports treatment and helps your body stay strong, but it cannot cure the cancer alone.
How is the stage of cancer determined?
Staging relies on imaging (CT, MRI) and biopsy results. Stage 4 means the cancer has spread beyond the pancreas.
What's the survival rate for pancreatic cancer?
Survival varies by stage. Early-stage detection has a better outlook. Dr. Chadha will discuss your individual prognosis.
Will I need surgery?
Surgery depends on tumor size, location, and overall health. Some patients may benefit more from other treatments.
What is an endoscopic ultrasound?
An endoscopic ultrasound (EUS) uses a thin, flexible tube with a camera and ultrasound probe to examine the pancreas and obtain tissue samples.
Is chemotherapy hard to tolerate?
Tolerability varies by drug and patient. Dr. Chadha tailors the regimen and adjusts doses to manage side effects.
Are clinical trials offered in Houston?
Yes. Dr. Chadha can refer you to local clinical trials exploring new treatment options.
How often will I see the doctor?
During active treatment, visits are typically every 4-6 weeks. Follow-up appointments become less frequent once therapy is complete.
Can I manage pain at home?
Yes. Dr. Chadha provides pain medications and lifestyle recommendations to help you remain as comfortable as possible.