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Pancreatic Cancer
Trust Dr. Scott at GastroDoxs for expert pancreatic cancer care in Houston. Receive personalized treatment plans, early detection strategies, innovative therapies, and compassionate survivorship support from a leading GI specialist. Take charge of your health-schedule a visit today.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is Pancreatic Cancer?
Pancreatic cancer occurs when abnormal cells in the pancreas grow uncontrollably, often starting in the ducts that carry digestive enzymes. It is one of the most aggressive forms of cancer and may not cause symptoms until advanced stages. Common signs include jaundice (yellowing of the skin and eyes), unexplained weight loss, abdominal or back pain, loss of appetite, and new-onset diabetes. Diagnosis typically involves imaging (CT, MRI, or endoscopic ultrasound), biopsy, and tumor marker tests. Treatment options include surgery, chemotherapy, radiation therapy, and targeted therapies, often coordinated in a multidisciplinary care setting.
He asks detailed questions about epigastric pain (onset, intensity, radiation to the back), sudden weight loss, jaundice, appetite changes and reviews risk factors such as smoking, family history, chronic pancreatitis or diabetes. A focused physical exam looks for abdominal tenderness, palpable masses or signs of biliary obstruction.
Blood Tests
We measure CA 19-9 tumor marker levels and liver function tests (AST, ALT, ALP, bilirubin) to detect biliary blockage and evaluate overall liver health. A complete blood count and metabolic panel help rule out other causes of your symptoms.
Imaging Studies
Contrast-enhanced CT scan of the abdomen and pelvis to pinpoint pancreatic masses, assess size, vascular involvement and potential spread.
Magnetic resonance imaging (MRI) or MR cholangiopancreatography (MRCP) for high-resolution views of pancreatic ducts and adjacent structures.
Endoscopic ultrasound (EUS) for close-up imaging of small lesions and real-time guidance for tissue sampling.
Advanced Testing (if needed)
If imaging suggests malignancy, Dr. Scott will perform an EUS-guided fine-needle aspiration or a CT-guided core biopsy to obtain tissue. Pathology confirms the cancer type and grade, while molecular profiling can guide targeted or immunotherapy options. In select cases, staging laparoscopy is used to detect microscopic spread before surgery planning.
Treatment
Our Team offers a full range of care for pancreatic cancer.
1. Lifestyle and Diet Modifications
Small, low-fat meals spaced throughout the day to support digestion
High-fiber foods and lean protein sources to maintain strength
Light exercise-like short walks-to help manage fatigue
Access to support groups for emotional well-being
2. Medications
Pain management with prescription analgesics for comfort
Pancreatic enzyme supplements to improve digestion and nutrient absorption
Systemic chemotherapy regimens tailored to your cancer's stage and biology
3. Minimally Invasive or Advanced Procedures
Biliary stenting to relieve jaundice and improve liver function
Radiofrequency ablation (RFA) for targeted treatment of small tumors
Targeted therapies or immunotherapy options based on genetic profiling
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
Is pancreatic cancer curable?
Some early cases can be removed with surgery. For later stages, treatment can still help improve and extend life.
What causes pancreatic cancer?
Smoking, family history, chronic pancreatitis, obesity, and diabetes are key risk factors.
When do symptoms start?
Symptoms often appear only after the cancer has grown. Early screening is best for high-risk patients.
Can diet help during treatment?
Yes. A low-fat, nutrient-rich diet supports energy, digestion, and overall well-being during treatment.
What if I have stage 4 pancreatic cancer?
Dr. Scott offers the latest treatments, including chemotherapy and targeted therapies, to manage pain and extend life.
Will you take my early symptoms seriously?
Yes. We listen carefully to all signs like abdominal pain or appetite loss and act quickly to diagnose and treat.
What should I bring to my first visit?
Bring your medical history, a list of current medications, and any recent imaging or lab results.
