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Medical Disability Advisor  >  Cancer Pancreas  >  Prognosis

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

Prognosis

The predicted outcome for individuals with pancreatic cancer is very poor, with a 5-year cure rate of only 1% following diagnosis and after surgical treatment using the Whipple procedure. Individuals without surgery can only hope for a very short survival. Partial or total pancreatectomy causes digestive disorders such as poor absorption of fats (steatorrhea) and deficiency of various dietary nutrients (dietary deficiency syndrome). These conditions are usually compensated for with administration of pancreatic extracts. Weight loss is common. Pancreatectomy may also lead to diabetes that requires ongoing treatment with insulin and serious alteration of the individual's quality of life.

Chemotherapy or radiation treatment used in addition to surgery also diminishes the quality of survival. Numerous follow-up medical examinations are required for individuals surviving pancreatic cancer for any length of time.

Source: Medical Disability Advisor






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