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Medical Disability Advisor  >  Cancer Pancreas  >  Failure To Recover

Cancer, Pancreas

Related Terms

  • Cancer of the Pancreas
  • Carcinoma of the Pancreas
  • Pancreatic Cancer

Differential Diagnoses

  • Cancer of another organ that has metastasized to the pancreas
  • Cancer of the bile duct
  • Harmless (benign) growth of the pancreas
  • Inflammation of the pancreas (pancreatitis)

Specialists

  • Endocrinologist
  • Gastroenterologist
  • General Surgeon
  • Oncologist
  • Radiology Oncologist

Comorbid Conditions

  • Digestive disorders (e.g., Crohn's disease or colitis)
  • Prolonged malnutrition
  • Systemic diseases such as diabetes

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Factors Influencing Duration

Factors that may influence the length of disability include the site and stage of the tumor at initial diagnosis. For individuals with pancreaticoduodenectomy or Whipple procedure, duration depends on extent of resection. Disability may be permanent.

Medical Codes

ICD-9-CM:
157 - Cancer, Pancreas
157.0 - Neoplasm, Head of Pancreas, Malignant
157.1 - Neoplasm, Body of Pancreas, Malignant
157.2 - Neoplasm, Tail of Pancreas, Malignant
157.3 - Malignant Neoplasm of Pancreas; Pancreatic Duct; Duct Of: Santorini, Wirsung
157.4 - Malignant Neoplasm of Pancreas; Islets of Langerhans; Islets of Langerhans, Any Part of Pancreas
157.8 - Malignant Neoplasm of Pancreas; Other Specified Sites of Pancreas; Ectopic Pancreatic Tissue; Malignant Neoplasm of Contiguous or Overlapping Sites of Pancreas Whose Point of Origin Cannot be Determined
157.9 - Cancer, Pancreas, Part Unspecified

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • How old is individual? Sex?
  • Does individual have risk factors such as cigarette smoking, high fat or high caloric intake, and meat eating? Chronic pancreatitis or diabetes?
  • Does individual have a history of exposure to industrial chemical carcinogens such as gasoline, beta naphthylamine, benzidine, dry-cleaning solvents, or substances used in the chemical coke and metal industries?
  • Does individual report vague pain in the upper abdomen that sometimes spreads around or through the back?
  • Has individual had recent, rapid and marked weight loss?
  • Does individual have jaundice of the skin, sclera, and mucous membranes? Persistent back pain that worsens while eating or lying down? Does individual have weakness and loss of energy? Anorexia, nausea and/or vomiting, constipation, light-colored stool, and dark-colored urine?
  • Are signs of hypoglycemia present such as fatigue, shakiness, chills, headaches, and anxious feelings?
  • On exam, does individual have abdominal distention? Liver or any masses palpable?
  • Was CT, MRI, ultrasound, or endoscopy done? Transhepatic cholangiography or intravenous cholangiography? Pancreatic tissue biopsy?
  • Does individual have low levels of the digestive enzyme trypsin in the pancreatic juice? Was individual's blood tested for carcinoembryonic antigen (CEA), pancreatic oncofetal antigen (POA), and carbohydrate antigen 19-9 (CA 19-9)?
  • Were conditions with similar symptoms ruled out?

Regarding treatment:

  • Has individual had surgery, radiation therapy, and chemotherapy?
  • Has the cancer metastasized? Was palliative surgery done?
  • Is it necessary to treat individual with insulin and/or pancreatic enzymes?

Regarding prognosis:

  • If individual returns to work, can employer accommodate any necessary restrictions?
  • Does individual have any conditions that may affect ability to recover?
  • Have any complications developed such as ascites or metastasis?

Source: Medical Disability Advisor


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