This video is very good. My husband (no smoker) had Pancreas Cancer (Tail) with metastasen. Her is died Jan. 2015, age 68, in Germany. He was a wonderful husband. ❤❤ I am alone, love for ever this man.
My wonderful friend had pancreatic cancer and was operated on over 25 yrs ago. They had to take out part of his stomach, his doadeum, his gallbladder, and part of his small intestine. As well as reconstruct his pancreas. It had spread to his liver but he had been under for over 12 hrs so they opted not to remove the lesions when they found they were embedded. He had cancer treatments for 25 yrs before he passed. And oddly enough it wasn't the cancer that took him out. It was the diabetes he developed from having the pancreatic cancer. He went in to have surgery on his toe and became septic. He fought the good fight and God allowed him to see his two kids graduate collage. He was such a wonderful man and provider for his family. I'm sure he could have went on disability, but he never did.
@@deborahbeltz718 no not many do. He was blessed and so was his family and us friends. He took treatments for the remainder of his life for the cancer still in his liver. But all in all he had a good life.
@connieheitz8982 I am glad he went that long that is truly a blessing , I have lost 6 people this year from pancreatic cancer, and not for the life of me. Why are so many people young and old getting it? It is bad enough cancer is still taking people from us, bybso many with pancreatic? I am glad your friend has a good life , he beat the odds for sure going long , God bless, I will say a prayer for him, and for all.who fight to stay alive from it.
What an inspiring and heartfelt story-your friend truly sounds like a remarkable person, full of strength and resilience. 💜 It’s incredible that he lived for so many years after such a major surgery, watching his children achieve milestones and continuing to provide for his family. His legacy must bring so much pride to those who knew him. What’s one memory of him that always makes you smile? 🌟
Thank you Dr. Roman! Unfortunately, my husband was diagnosed with pancreatic cancer. Neither of us were familiar with the process of treatment but we learned quickly. Via information from his oncologist and of course Google! We both knew this diagnosis came with a short time line. With that being said my husband chose to have chemotherapy. A very aggressive chemo was suggested. He tolerated it very well. Then, after a few months they suggested another type of chemo and he agreed. He soon developed debilitating neuropathy! The worst symptom for him with the exception of the excruciating pain 24/7. When my husband passed away I confidently came to the conclusion that we had done all we could do to prolong his life. I’m leaving this comment to say your video just gave me complete validation! I’m forever grateful to you for giving me peace of mind! Thank you for your guidance to others who may be facing this Battle for their life! God Bless you. You are much appreciated! TJ
Thank you and I'm sorry to hear about your husband. Your kind words motivate me to make these videos. Sometimes I'm tired and I ask myself if it is worth the time and energy BUT you made it clear. Thank you!
Thank you for your video. How I wish we had this information when my sister was diagnosed with Stage 4 Pancreatic Cancer in March of 2021. She would later pass that same year in December. We were never offered palliative care until 30 days before her passing. The lack of knowledge kept her going for chemotherapy until she just couldn’t tolerate it. I believe that classes should be offered with the type of education this video offers. I believe my sister would’ve had better quality of life with the short time she had left.
Sorry to hear about your sister. That is a common occurrence, unfortunately. All we can do is learn from it and hopefully improve things for the rest of us as a society. Good health to you.
This is why I always advocate for more information any time I'm not getting answers from my doctor. Patients need to be their own advocates more than ever, because our managed care system prevents doctors from spending quality time with their patients and answering those uncertainties and following up with the proper referrals the first time around and not when it's too late to do anything. I've had three cancers, (none of them pancreatic), and there's no way I can't be satisfied when a doctor says that "it doesn't appear to be any type of cancerous tumor", because he or she just wants to wait and see what develops. Yes, you could say I'm a warrior or cancer conqueror, and you'd be correct, because I just don't take a wait and see approach. I also have used integrative medicine to lower the risk of developing cancer. Even after treatment, I used supplements and intense exercise to help my body stay as healthy as I could, because cancer doesn't need to be a death sentense. If our sick care system focused more heavily on this, I believe we'd have a healthcare system.
I was diagnosed with stage one. I did have symptoms, but they were being dismissed. These did it include jaundice or weight loss. Finally, my doctor ordered a CAT scan. That is how I was diagnosed. They also did an endoscopic ultrasound. Doctors need to listen more to what patients are saying!
Going through a IPMN that was found to only need to be watched for now after my MRI 6 months ago. I am very active in my own care and have learned a lot about the pancreas. I had my gallbladder removed almost a year ago after being rushed to the hospital and that's when I was told I had precancer. Let me tell you the weight loss is crazy, I've changed my diet and eating better. I feel good and in control mentally about what might be ahead of me. Thank you for you talks and great details. Be well
Yeap an IPMN is not easy to live with. The unknown future leads to the anxiety. In the end the future is not promised to anybody so we need to live our life. I also have an IPMN so I know all about it. All the best to you!
Thank you for a clear, concise explanation & for all the very helpful images. I was just diagnosed w/pancreatic cancer thru a EUS. Will have other images done next week & labs done for dna staging but that might take a week to get back fm lab. Data was submitted to Medicare, waiting on approval.
Don't wait! Ask if you are eligible for Whipple surgery. I was diagnosed stage 1 jun 2022 and was told I needed whipple surgery right away. I had whipple surgery jul 2022. The tumor was on the head of my pancreas. They took my gallbladder, small intestines, portion of my stomach, and head of my pancreas. This is an intense type of surgery and many dont make it from the operating room and if they do can die later from thngs related to the surgery. They will want to start chemo after the surgery so don't wait because like my doctor told me when i told him I wanted to wait because I was not sure about the whipple surgery, he told me that everyone who waited aee NO LONGER HERE so I went ahead and did the surgery right away. That was 3 years ago and now the pancreatic cancer has returned to my liver as of Feb 2023 so I'm NOW still fighting the battle.
I love your videos, doctor, and I congratulate you for your educational work. I am not a patient, but I find the subject of oncology fascinating. Could you recommend some tips to prevent pancreatic cancer (perhaps it would be a good idea to make a series of videos with the best and most unknown cancer prevention tips) and if there is any routine screening to detect it early before symptoms appear and at what age we should do it. Best regards, doctor, and I hope that the channel continues to grow!
Thank you so much. I wish I had more time to make more videos as I really enjoy it and I love hearing from patients and how it helps them. It's a good idea. I will consider that topic. There's a lot of info to cover. Thanks again! 🙏
Sir, Really your explanation about Pancreatic Cancer is very very informative and really very very helpful for us. Your guidance will be very helpful for me as my Aunty whom I love a lot is going through these ..... You have taken great efforts to give explanation... I am really most thankful to You. May God Bless You with Eternal Happiness.
Had Palliative chemo since May 2023. Folfirinox did not work although lung nodules responded. Gemcitabin then tried and 1st scan showed shrinkage. 2nd scan no growth. Been off chemo for 2 months starting again August. Tip 1 have a port not pic line (you can swim) Tip 2 ask for CA levels so you can monitor. Tip 3 Loperamide does work for diarrhoea but much better sis Sauerkraut with all food! I’m on Bile binding meds and Enzymes. I can eat most things now and have reduced the meds by eating a couple of tablespoons of Sauerkraut with everything. I can eat it by itself without enzymes. Going to start making my own live one and will keep shop bought as back up. Scan results on 26/7 so fingers crossed.
😢thank you for your important information! 17 yrs after I had my Distal pancreatic cancer operation! My digestion is getting bad! Have to sit up on 3 pillows to not have aspiration back into lungs when I sleep! The acid is bad for at least 10 hrs after eating! I will try the sauerkraut method! Maybe I won't develop infection in my lungs! THANK YOU SO MUCH!!!
You are completely correct. It's amazing to me how some people will not take the time to learn about their illness. I make these videos to educate and prepare the patient to have those important conversations with their doctor. I'm happy to see I'm able to help some patients. Thank you.
@ I really wish I can say they have had any sort of reaction but there has been none. It's actually breaking my heart. I take care of my wife who has Multiple Myeloma and it would be great if I could at least get some help. I'm watching your video where you speak of your own experience and I hope all goes well with you. God Bless🙏
@BryanCurtisSaved I have learned that we all have some type of struggle although some are bigger than others. As a cancer doctor I have seen and learned first hand how unfair life is. I always try to concentrate on the things I can change and try to ignore what is out of my hands. It hard but that's what I try to do. You do you and try to be the best person you can and let life take its course. Take a deep breath and when life knocks you down just get up and smile. Take care and all the best to your wife.
@@talkingcancer155thank you. I think they are processing it as best they can- maybe not at all right now because that's all they can do. I'm glad to see that you are staying strong for your family and being an encouragement for the rest of us.
Hi sir, my husband has pancreas cancer on the body stage 3. The doctor stated he's not a candidate for the surgery. The tumor is around both of the superiors' mesenteric artery vein. I hope there's a miracle for him 🙏😢
Thanks for the info. I would only add that chronic pancreatitis can also cause midback pain and epigastric pain. When I have to go in for an MRI, it is literally hellish, not because of the feeling confined and noises, but because of the pain caused by having to lie still on my back. It is very difficult to lie still in that position for any amount of time. Also, if you already have pancreas damage, the blood amylase and lipase levels may not be reliable. Mine are typically well below the lowest reference range level although I did have a dramatic rise in these levels when I was hospitalized for acute pancreatitis.
You are correct. I wanted to add more info but also wanted to keep it under 30 min and that was impossible. I wanted to touch on CP, IPMN and get into genetic testing and hereditary pancreatitis but it was too much for 1 video I think. CP is no joke. Well thanks for the input and all the best to you.
@@talkingcancer155 It makes sense to keep the videos short and on topic. The information was excellent. I just wanted to throw that out there because the symptoms of CP can be similar to those which you describe for pancreatic cancer, especially the epigastric and midback pain.
Good info to know. Having a CT scan next week with the pancreas protocol. The regular CT last week showed a possible mass on the head. Just trying to be an informed patient. Definitely will watch this again beforehand. Thank you.
It came back stage IV. Only a couple of choices at this point. Never thought I would be staring this down in my life. I have a good support system. Thanks for reaching out to me. I have certainly learned a lot in the last few weeks.
My sister just passed Nov 23, 2024. Fall of 2023 she started having pain in the abdomen and back. She assumed it was ulcers. I urged her to see a doctor, she waited months. February she was diagnosed with stage four pancreatic cancer.
Great video! You explained it so well. I had no knowledge of what my close friend was going through. They give her 3 weeks to live. She's had jaundice for over 2 yrs. and didn't address it. Had emergency gallbladder removal. Cancer was discovered. Palliative chemo recommended. All treatment now stopped. Under Hospice care. Duration 6mos. from discover to now the end.
Unfortunately, this is common because pancreas cancer usually does not give symptoms early on. There are some patients whom do better and a lot goes into that. Sorry to hear about your friend and I hope she is as comfortable as possible.
I just got diagnosed with IPMN after an MRCP with contrast, there are multiple 5mm tumors which are communicating with the main pancreatic duct. No enlargement of the duct. My symptoms were pain under my left ribs, early satiety, nausea and vomiting if i eat more than 6 bites. I've lost 16lbs without trying. The tail is atrophied. Waiting for the EUS to be ordered. The radiologist didn't give a number, he just said multiple tumors. Didn't give a location of them, either. Interestingly enough, my pancreatic enzymes are very low, I've never had pancreatitis. Never smoked or drank, but I've got NASH, No markers have been done yet, just had the MRCP on Wed. I've learned a lot from your videos, i was scared when they
I am glad my videos have helped you in some way. It really sucks to have IPMNs. The pancreas is a hard organ to do studies on. The EUS should provide good info. Well I wish you the very best. I will have some more videos coming soon about IPMNs. I am asked so many questions about this so I'm thinking about answering most of these questions in a detailed video. Let me see when I have some free time to get it done. Take care!
me too im going true al most the same mri next Month dit get a ct with contrast its in the tail and in the side branch several 5mm yes im learing im just 56 female
Thank you for sharing. You were able to explain it in terms that we can understand a lot better. We definitely feel like I’m more informed. I just had a friend who died pancreatic cancer, but was only diagnosed about two weeks ago and the Doctor Who diagnosed him I believe said something like oh you probably have about 44 to 6 months or so approximately and he died within days after being diagnosed, really fast fast
I am a 53 year old female who presented with back pain that moved into my abdomen last October of 2023. I thought I had an ulcer. After months of no diagnosis I was finally told on 2/15/2024 that I had pancreatic cancer. It was a tumor on the head and borderline respectable. I started fulfirinox in March and did 7 rounds before I became too sick. I was extremely lucky in that my surgeon believes the chemo killed all of my cancer before I even had the surgery on 7/23. He said he could not find the tumor during the surgery and could only feel something where it was which she thought was just scar tissue. Pathologist also cannot find a single trace of cancer anywhere. I did three more chemo‘s after the surgery but had to eliminate The chemo that gives you neuropathy. to be honest, I wish I had seen this video. I think I was in a state of shock for the first few months and then just so sick from chemo I just went along with whatever I was told. I also wish there’s another video on how the Whipple surgery actually happens and how they put your body back together, but more importantly about the aftermath of this new body. It’s so complicated and frustrating and life-changing. I am finally feeling a lot better, but several months after that surgery were completely depressing with pain and nausea. I wish there was better aftercare for patients to understand how different it will be. Now we just have to pray it doesn’t come back.
That is awesome. Some patients really respond well to chemo. The fact they could not find the tumor after chemo is a big deal! I'm sorry you have been through a lot. Cancer at 53 is unfair. I really wish you the best and and a healthy 2025!!!
Could an aneurysm be caused from pancreas cancer ? My dad had pancreas cancer and passed away almost 25 years later from an aneurysm. He is in the books at the OSU James .
The short answer is no unless it was caused from tumor, surgery or radiation damaging the artery and leading to the local peripancreatic aneurysm. This would be rare. An aneurysm in another part of the body would not be caused by pancreatic cancer that I am aware of.
Thank you for this. I am part way through all these investigations after a lesion was recently found on my head of pancreas during a CT. So helpful to know that my doctor is doing all these tests. Pain, fatigue, weight loss, aversion to eating.
It's all investigational at this point. Lots of research on targeted therapy so I think this will be the next wave of treatment options together with immunotherapy. Very very slow progress but progress nonetheless.
My wife is stage 1b pancreatic cancer. Took her in for mediport placement and she won a free 50% pneumothorax of her right upper lung. Same Dr will preform the whipple after 3-4 months of chemotherapy.😮 they say he’s good at the whipple though. 6 days in and her chest tube is still on -40 suction with a pigtail. Tried to clamp it but had to go back to suction within hours. I don’t mind question.
Sorry to hear. These things happen and it does not mean he or she is a bad doctor. Chemo followed by surgery is a good option that we are using more and more. All the best to her!!!
Very helpful video. Many thanks for taking time to explain. I’d like to know which treatments/surgery are available when the mass is in the neck of pancreas? Would a Whipple be an option? I realise you cannot comment on specific cases. Husband is Awaiting the EUS biopsy in 15 days time.
Good to hear my video helped you. If needed find a good surgeon and leave it to them. They will usually remove it using the least invasive procedure possible. The neck is so close to the head that a whipple is usually the best and only option but if they can remove it with a less aggressive surgery then they will. They are getting really good at these surgeries. Like I said just concentrate on finding a trusted surgeon. All the best.
@@talkingcancer155 Thank you, we have what we believe to be an excellent surgeon. He specialises in the upper GI area. We do believe that he has a plan. Just waiting on the specifics after the EUS/biopsy is completed on 17th July. We are in the UK where things tend to happen more slowly. The waiting is hard, we’re scared things are getting worse with each day.
@alisonmacaskill4620 as you know time is important but having a good surgeon and plan are also very important so it sounds like you are doing things correctly.
@@talkingcancer155 I’ll let you know what transpires after the biopsy. My husband is 63 years old and physically fit. Non smoker/social drinker, mild hypertension and a small hiatus hernia. I think he’d be ok for a Whipple if that’s the course of action taken.
Ultra sound- liver- head of pancreas 2cm. CT SCAN- very good test with IV contrast. MultiphaseCT pancreas contrast. MRI SCAN - MRCP- with contrast. Pet-scan- advanced disease.
Ok so I have a 1 cm cyst in my IPMN SIDE string family history pancreases cancer … I asked specialist to do ultrasound endoscopy he suggest I wait to see if it grows … any suggestions Doctor… thank you for all other information very helpful
It really depends on the case. A 1cm IPMN is not large so you have options. Waiting and repeating an MRI is an option. My suggestion is that if you have doubts you should consider a second opinion. This way, they can review your case and give you another point of view and this will also give you some piece of mind. All the best to you
Hello doctor Roman, thank you so much for this excellent and informative video!! my mother was diagnosed 6 weeks ago with panceatric cancer, and they put in the stent, but unfortunately it didn't help, so at this very moment she is having the bypass surgery, so she will be able to eat more, not feeling any nausia, her tumor is in the head of the pancreas and the doctors in the Sahlgrenska University Hospital in Gothenburg said it was not possible to operate, but I must ask you why it would not be possible to radiate it and then surgery if possible? The doctors haven't told me yet which stage she's in, but they want to start chemo as soon as she's gaining weight a bit. Could you also explain why the stent didn't work? Is that common?
Most pancreas cancer are not resectable due to blood vessel invasion. There are other reasons but new literature suggests patients do better if they receive chemo before surgery. A Stent can fail due to several reasons. It can move, the tumor is large, location, etc. Every case is different but this is truly a hard disease to treat. Radiation is a problem because it is not extremely helpful in my opinion in a large tumor and there are so many surrounding organs that the radiation can hurt that makes radiation a bit problematic. I really hope your mom does better. Ask the oncologist to answer all your questions since they have all the details of her case. Be patient because as I said before this is a hard disease to treat.
Not due to parasites since you would see them under the microscope. Cancer is due to DNA damage. There are some viruses which cause cancer by damaging your DNA.
Sir my father has a tumor in Ampulla of Vater And it was written in the report that it was Periampullary AdenoCarcinoma, so that it is not pancreas cancer?
It could be pancreas cancer if it started in the head of the pancreas and is invading the surrounding tissue including the ampulla. Most likely it originated in the ampulla or duodenum. Ask your oncologist since there are pathologic findings under the microscope and imaging findings which can help you tell. If the pancreas looks clean on imaging then it likely started in the ampulla. All the best.
yes it is started in ampulla of vater and limited to ampulla of vater and it spread to 2 lymph node. so sir what is the cure rate in this? @@talkingcancer155
I have a family member effected by this currently. We have been informed it is impacting the blood vessels in the head/neck area. We are waiting on scans to determine how much they are effected. Would appreciate a straight answer on time frames/life expencty if they are indeed fully impacted.
That's a hard question to answer and we are almost never accurate. If there is no metastasis and all is local then the prognosis is a little better with treatment. I have had patients live almost 2 years with very advanced disease but that is not as typical. Unfortunately this is a very aggressive cancer and life expectancy ranges from 6 to 18 months with treatment BUT BUT BUT highly variable!!! Everyone is different. All the best to your family!
Thank you…A question if I may? @talking cancer155 ..My partner has just had a successful Whipples procedure for Adenocarcinoma..Head of Pancreas.( we are in Australia…) They are calling it Locally advanced.Found cancer in two nodes in the area near the resected PC…He is now slowly recovering ..He does not want to have Chemotherapy at all! And is very definite about this, which I respect. I know it is an aggressive cancer with a high probability of return….Can you give me a rough idea, from your extensive experience..about the approx length of time he may have..I know there are variations and everyone is different…but a time frame would be a huge help…I am fairly realistic about the possible prognosis( retired nurse here) thank you ….From Oz
@bronwynquinn4477 sorry to hear. As you said this is highly variable. In this case unfortunately the majority recur and the average life expectancy is 6 to 18 months but once again highly variable. Chemo can improve this somewhat. But then again there are some patients that do much much better. I have seen some patients defy the odds so you NEVER know. I hope the best for you all.
My husband died 8 months after suffering. No oncologist, specialist in zimbabwe or S africa picked it up!. Rolling around in back pain. Itchy skin Vomiting bile, not food, infront of the specialist!. They all said he was a depressed FARMER, we had every test, even bone marrow, Every tunnel, nothing. All bloods, tested weekly. No symptoms. No one believed me, that he was very ill. He wasted away in pain, . An absolute disaster, i had to beg for pain killers. TWO COUNTRIES, 3 X AIR EVACUATIONS! . the specialists apologized to me afterwards. Hmmmmm. XX from zambia
I can't gain weight- lost weight. BMI is a low 20. I eat a lot. I was heavy before. Tests are all OK though. Lost Gallbladder a few years ago. I have energy so overall ok I think. Saw 4 Doctors and none had any answers.
@@talkingcancer155 Thanks. Other than being too thin, I think I am pretty good. I can hike for hours- hit the gym. Nothing really holds me back. Just tired of dumb comments about my weight. That does get to me. When I was fat no one said a word.
@MOAB-UT the world is full of simple-minded people. Surround yourself with a few good people and ignore the rest. Live your life and try to improve humanity. That is all we can do.
@@talkingcancer155 Yeah but many of them are smarter than me. Random strangers- just hurts. Tried to be happy the other day at 8am, getting some sun with my dog. My over weight neighbor stares at me. I don't even know her... "HI- So you are losing some more weight hugh?" NO! I am the same weight from the last time you made a comment last week. Please stop saying that- it bothers me. "Hmmm. Ok." So How are things and your wife- I see her walking your dog too? Me: Getting Divorced. Really? ME: Walks away. LOL. You have to try to laugh at life sometimes. When it rains it pours- can't all be sunny days I guess. I had plenty of those in the past.
Can having a damaged Pancreas due to a Stone blockage, lead to Cancer ? Mine is damaged to where I now have to take extremely expensive enzymes, to digest my food !
If you developed chronic pancreatitis then yes. But the risk is not huge. You should find out what level of damage. Then again many develop pancreas cancer with no prior pancreas damage so go figure.
My husband was diagnosed of Pancreatic cancer 3years ago,but it was surprised that he just lived almost 3days only,its sad he had no symptoms that should had been medicated..
My father diet from pancreatic cancer, and he went to the doctor for at least 6 months or so, and they kept misdiagnosing things. And then finally, in may, he invited everybody to his birthday party and told everybody this would be his lost birthday and uh, he got diagnosed with pancreatic cancer in july and died in august.
When it comes to cancer, no one ever thinks of going keto or just hard core fasting. We think people in times past did not get cancer because their lives we short. But many fasted because of shortages and season availability of food.
I agree! Types of Keto and/or Carnivore fasting is a vast help to fight against cancer! My sister passed of aggressive ovarian cancer. In the beginning she was so amazingly strong mentally and physically. I will always be sad that I did not have this knowledge then, because she would have thrown herself into fasting whole-heartedly.
As long as the chemo is working and the patient is tolerating it. There really is no specific time frame. A patient can be on chemo a long time. Really depends on the patient and if they are deriving a benefit from the chemo. If they are not tolerating it then you can reduce the dose or change to another regimen. If it is not working because the tumor is growing then obviously we would change to another chemo. I hope this helps.
@@talkingcancer155 it does, thank you! We just got the wonderful news that the chemotherapy worked for myfamilymember. No active disease on scans. Surgery in 4 weeks.
Dad died from pancreatic cancer. They first said you have pancreatic cancer if your here for that there’s nothing we can do. If you’re here for the pain we can help. He of course got upset. After that for the next 5 years he suffered as they said he didn’t have it. He had stents. He had sepsis twice. They resuscitated him twice yet the pet scans kept saying he had nothing. He thought he was going insane. The last year they finally said the pet scan picked up the pancreatic and duodenal cancer. So cruel. I don’t understand what happened. Were they purposefully not telling him or were the scans not picking it up. Although 5 years previously it did.
Sorry to hear. There are many possibilities there so I think you should sit down with his doctors and have them explain to you the details of his case. All the best.
@ Thank you. We did try at the time. They kept saying he didn’t have cancer which most of the family believed. This caused a full family rift ( which never healed)as dad was trying to go to other hospitals for help the family that believed the new Drs would get angry at him for taking up valuable time from the Medical staff. All we were told at the end was that it was the cancer was massive but it was hiding. Yet that first Dr said he had pancreatic cancer. In hindsight he had all the symptoms. What I’m wondering can the Drs decide to keep the diagnosis from the patient? When there were emergencies and many Drs came running there was always an oncologist. Why if he didn’t have cancer? The problem is we now don’t trust Dr’s.
My GI doctor refused to write a lab order for me to test CA19-9 and CEA. Can you write a lab order for me? I have IPMN in the uncinate process. I am willing to pay out of pocket.
Remember you can always obtain a second opinion. Please remember that I am not your doctor and my video's are for education only. You can also speak to your primary care physician. I sincerely wish you the very best with your health.
Thank you so much, much doctor for your expert tutorial. I know of someone who had real aching back problems & had to hold on side of bed to get up. Really bad. Told dr they lifted heavy objects & thought they pulled back muscles. Gave them a steroid shot in back muscle. Almost a year later, it got worse. Finally they had to go to hospital. Thought it was a blocked colon. Not so. They had to have this EUS. The oncologist said it was in a non-removable place. Sooo, time for treatment. He wouldn't remove it. No major illnesses, or covid, flues, viruses. I pray for them each day. Hope they have a longer life. God Bless you for your knformative video & details. Now i understand it better from what i was told.😂❤
@ - yes, but I also have CLL. It was first , then the 2nd blood cancer popped up 7 years later. Went on Immunotherapy for 2 years; now I’m in a period of remission the past 15 months.
That's a hard question to answer because it could be many things. A true nodule vs a cyst? IPMN, neuro endocrine tumors, cancer, pseudocysts. I have a video titled IPMN and pancreatic cysts you may want to check out.
Celiac can affect the pancreas. It can increase the risk of pancreatitis. Celiac is not my specialty so I would ask a Celiac specialist. I wish you the very best.
Most important question to ask your doctor is the percentage of people still alive 5 or 6 years later with or without treatment and their quality of life. As a nurse, I do see that, today, more than ever, people need to be their own advocates, either for or against treatment. However, it shouldn't be this way. People should not need to try to gain the knowledge doctors learned over years. As for seeding during biopsy, I was taught that this didn't happen. However, my sister-in-law died 18 days after her bone biopsy/CA diagnosis of bone cancer. It had been localized in her hip bone until the biopsy. When she died she had cancer literally everywhere.
Sorry to hear about your family. The thing is that every case and patient is different so this video is so patients know the basics and they can expand upon that.
A transabdominal ultrasound is easy to do and cheap but not a good test to view the pancreas. You can see the head of pancreas in some patients, especially if thin but overall not a great test for screening pancreas. An EUS is a different story but obviously invasive.
Extreme Keto combined with nutritional supplementation turns these patients around very quickly. The Warburg study and detection scans today along with tumor growth after death prove that malignant tumors consume sugar to grow. No money in that though huh? I like to cut something…absolutely FREE 👍😃
This video is very good. My husband (no smoker) had Pancreas Cancer (Tail) with metastasen. Her is died Jan. 2015, age 68, in Germany. He was a wonderful husband. ❤❤ I am alone, love for ever this man.
Sorry to hear that. I want to wish you the best and good health
I am so sorry for your lost !!! please take care ❤❤❤🌹😢
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My wonderful friend had pancreatic cancer and was operated on over 25 yrs ago. They had to take out part of his stomach, his doadeum, his gallbladder, and part of his small intestine. As well as reconstruct his pancreas. It had spread to his liver but he had been under for over 12 hrs so they opted not to remove the lesions when they found they were embedded. He had cancer treatments for 25 yrs before he passed. And oddly enough it wasn't the cancer that took him out. It was the diabetes he developed from having the pancreatic cancer. He went in to have surgery on his toe and became septic. He fought the good fight and God allowed him to see his two kids graduate collage. He was such a wonderful man and provider for his family. I'm sure he could have went on disability, but he never did.
Thanks for the touching story of your friends journey. I'm sure he is up there looking at you smiling. 🙏
Not too many people survive pancreatic cancer, so if you get it just live until your time comes, no chemo!
@@deborahbeltz718 no not many do. He was blessed and so was his family and us friends. He took treatments for the remainder of his life for the cancer still in his liver. But all in all he had a good life.
@connieheitz8982 I am glad he went that long that is truly a blessing , I have lost 6 people this year from pancreatic cancer, and not for the life of me. Why are so many people young and old getting it? It is bad enough cancer is still taking people from us, bybso many with pancreatic? I am glad your friend has a good life , he beat the odds for sure going long , God bless, I will say a prayer for him, and for all.who fight to stay alive from it.
What an inspiring and heartfelt story-your friend truly sounds like a remarkable person, full of strength and resilience. 💜 It’s incredible that he lived for so many years after such a major surgery, watching his children achieve milestones and continuing to provide for his family. His legacy must bring so much pride to those who knew him. What’s one memory of him that always makes you smile? 🌟
Thank you Dr. Roman!
Unfortunately, my husband was diagnosed with pancreatic cancer.
Neither of us were familiar with the process of treatment but we learned quickly. Via information from his oncologist and of course Google! We both knew this diagnosis came with a short time line.
With that being said my husband chose to have chemotherapy. A very aggressive chemo was suggested. He tolerated it very well. Then, after a few months they suggested another type of chemo and he agreed. He soon developed debilitating neuropathy! The worst symptom for him with the exception of the excruciating pain 24/7.
When my husband passed away I confidently came to the conclusion that we had done all we could do to prolong his life.
I’m leaving this comment to say your video just gave me complete validation!
I’m forever grateful to you for giving me peace of mind!
Thank you for your guidance to others who may be facing this Battle for their life!
God Bless you. You are much appreciated!
TJ
Thank you and I'm sorry to hear about your husband. Your kind words motivate me to make these videos. Sometimes I'm tired and I ask myself if it is worth the time and energy BUT you made it clear. Thank you!
Thank you for your video. How I wish we had this information when my sister was diagnosed with Stage 4 Pancreatic Cancer in March of 2021. She would later pass that same year in December. We were never offered palliative care until 30 days before her passing. The lack of knowledge kept her going for chemotherapy until she just couldn’t tolerate it. I believe that classes should be offered with the type of education this video offers. I believe my sister would’ve had better quality of life with the short time she had left.
Sorry to hear about your sister. That is a common occurrence, unfortunately. All we can do is learn from it and hopefully improve things for the rest of us as a society. Good health to you.
This is why I always advocate for more information any time I'm not getting answers from my doctor. Patients need to be their own advocates more than ever, because our managed care system prevents doctors from spending quality time with their patients and answering those uncertainties and following up with the proper referrals the first time around and not when it's too late to do anything. I've had three cancers, (none of them pancreatic), and there's no way I can't be satisfied when a doctor says that "it doesn't appear to be any type of cancerous tumor", because he or she just wants to wait and see what develops. Yes, you could say I'm a warrior or cancer conqueror, and you'd be correct, because I just don't take a wait and see approach. I also have used integrative medicine to lower the risk of developing cancer. Even after treatment, I used supplements and intense exercise to help my body stay as healthy as I could, because cancer doesn't need to be a death sentense. If our sick care system focused more heavily on this, I believe we'd have a healthcare system.
You are correct. Knowledge is definitely important and patients should participate in decision making. This is why I'm making these videos.
I was diagnosed with stage one. I did have symptoms, but they were being dismissed. These did it include jaundice or weight loss. Finally, my doctor ordered a CAT scan. That is how I was diagnosed. They also did an endoscopic ultrasound. Doctors need to listen more to what patients are saying!
I'm glad it was diagnosed early! How are you now?
God bless you 🙏🏻
My BIL died in a matter of 4 days.
Was brought in to the ER and diagnosed with sepsis. 🥺
Sorry to hear that. 🙏
Going through a IPMN that was found to only need to be watched for now after my MRI 6 months ago. I am very active in my own care and have learned a lot about the pancreas. I had my gallbladder removed almost a year ago after being rushed to the hospital and that's when I was told I had precancer. Let me tell you the weight loss is crazy, I've changed my diet and eating better. I feel good and in control mentally about what might be ahead of me. Thank you for you talks and great details. Be well
Yeap an IPMN is not easy to live with. The unknown future leads to the anxiety. In the end the future is not promised to anybody so we need to live our life. I also have an IPMN so I know all about it. All the best to you!
How r u now? What are the treatment ur taking now?
My beautiful sister died from PC. The family shared no information about it, so this video is better late than never.
Sorry to hear. Sadly, this is very common. The earlier it is found, the better.
@@talkingcancer155☺️🙋🤍
Thank you for a clear, concise explanation & for all the very helpful images. I was just diagnosed w/pancreatic cancer thru a EUS. Will have other images done next week & labs done for dna staging but that might take a week to get back fm lab. Data was submitted to Medicare, waiting on approval.
Sending positive vibes your way! All the best.
Don't wait! Ask if you are eligible for Whipple surgery. I was diagnosed stage 1 jun 2022 and was told I needed whipple surgery right away. I had whipple surgery jul 2022. The tumor was on the head of my pancreas. They took my gallbladder, small intestines, portion of my stomach, and head of my pancreas. This is an intense type of surgery and many dont make it from the operating room and if they do can die later from thngs related to the surgery. They will want to start chemo after the surgery so don't wait because like my doctor told me when i told him I wanted to wait because I was not sure about the whipple surgery, he told me that everyone who waited aee NO LONGER HERE so I went ahead and did the surgery right away. That was 3 years ago and now the pancreatic cancer has returned to my liver as of Feb 2023 so I'm NOW still fighting the battle.
This video is the best I’ve heard pan cancer explained. Thank you!
Thank you for your kind words!
I love your videos, doctor, and I congratulate you for your educational work. I am not a patient, but I find the subject of oncology fascinating. Could you recommend some tips to prevent pancreatic cancer (perhaps it would be a good idea to make a series of videos with the best and most unknown cancer prevention tips) and if there is any routine screening to detect it early before symptoms appear and at what age we should do it. Best regards, doctor, and I hope that the channel continues to grow!
Thank you so much. I wish I had more time to make more videos as I really enjoy it and I love hearing from patients and how it helps them. It's a good idea. I will consider that topic. There's a lot of info to cover. Thanks again! 🙏
You explain things very well! This is a horrible cancer but then all cancers are horrible!
Thank you for your feedback. I appreciate it 🙏
Excellent presentation from RN to MD!!
Thank you. Your feedback means a lot to me. 🙏
Sir, Really your explanation about Pancreatic Cancer is very very informative and really very very helpful for us. Your guidance will be very helpful for me as my Aunty whom I love a lot is going through these ..... You have taken great efforts to give explanation... I am really most thankful to You. May God Bless You with Eternal Happiness.
Thank you for the kind words. I'm glad it helped you. All the best to her!!!
Had Palliative chemo since May 2023. Folfirinox did not work although lung nodules responded. Gemcitabin then tried and 1st scan showed shrinkage. 2nd scan no growth. Been off chemo for 2 months starting again August. Tip 1 have a port not pic line (you can swim) Tip 2 ask for CA levels so you can monitor. Tip 3 Loperamide does work for diarrhoea but much better sis Sauerkraut with all food! I’m on Bile binding meds and Enzymes. I can eat most things now and have reduced the meds by eating a couple of tablespoons of Sauerkraut with everything. I can eat it by itself without enzymes. Going to start making my own live one and will keep shop bought as back up. Scan results on 26/7 so fingers crossed.
I wish you all the best, and it sounds like you found what seems to be working for you.
😢thank you for your important information! 17 yrs after I had my Distal pancreatic cancer operation! My digestion is getting bad! Have to sit up on 3 pillows to not have aspiration back into lungs when I sleep! The acid is bad for at least 10 hrs after eating! I will try the sauerkraut method! Maybe I won't develop infection in my lungs!
THANK YOU SO MUCH!!!
Chemo doesn't help you feel like you are in he'll you will have a terrible life.
Please include keto / carnivore fasting which kills off cancer cells fast!
Thanks very much DOCTOR it teaches us how we can help others with same cancer ❤
You are welcome. 🙏
Thank you it is soo important to educate and know the whatvhow and why
You are completely correct. It's amazing to me how some people will not take the time to learn about their illness. I make these videos to educate and prepare the patient to have those important conversations with their doctor. I'm happy to see I'm able to help some patients. Thank you.
Superb and extremely helpful video - thank you for taking the time Dr Roman.
It is my pleasure. I hope it helps you out! All the best to you.
Thank you very much. Very v v informative. Know a lot of people that died with pancreatic cancer. Una Hogan👏👏🇮🇪
You're welcome. 🙏
Thank you so much for this video. I sent it to my sons to try and get them to understand what I'm going through. Excellent information!!
You're welcome. I hope they can better understand your situation so they can help you better. All the best.
@ I really wish I can say they have had any sort of reaction but there has been none. It's actually breaking my heart. I take care of my wife who has Multiple Myeloma and it would be great if I could at least get some help. I'm watching your video where you speak of your own experience and I hope all goes well with you. God Bless🙏
@BryanCurtisSaved I have learned that we all have some type of struggle although some are bigger than others. As a cancer doctor I have seen and learned first hand how unfair life is. I always try to concentrate on the things I can change and try to ignore what is out of my hands. It hard but that's what I try to do. You do you and try to be the best person you can and let life take its course. Take a deep breath and when life knocks you down just get up and smile. Take care and all the best to your wife.
@@talkingcancer155thank you. I think they are processing it as best they can- maybe not at all right now because that's all they can do. I'm glad to see that you are staying strong for your family and being an encouragement for the rest of us.
@@talkingcancer155is there any connection between a splenic varix and a main duct dilation? During my last scan they both showed.
Thank you for this information! I lost my dad in 2021 and my uncle in 2023 to pancreatic cancer.
You are welcome. Sorry for your loss. Consider having genetic testing.
Hi sir, my husband has pancreas cancer on the body stage 3. The doctor stated he's not a candidate for the surgery. The tumor is around both of the superiors' mesenteric artery vein. I hope there's a miracle for him 🙏😢
And the surgery doctor stated he's will live 1 to 2 years 😢
Sorry to hear. I hope he responds well to chemotherapy. All the best to you both and I'm sending positive vibes your way!
Thank you🙏
There is Fenbendazole he can try just google it blocks the sugar what is feeding the cancer good luck
🙏
Thanks for the info. I would only add that chronic pancreatitis can also cause midback pain and epigastric pain. When I have to go in for an MRI, it is literally hellish, not because of the feeling confined and noises, but because of the pain caused by having to lie still on my back. It is very difficult to lie still in that position for any amount of time. Also, if you already have pancreas damage, the blood amylase and lipase levels may not be reliable. Mine are typically well below the lowest reference range level although I did have a dramatic rise in these levels when I was hospitalized for acute pancreatitis.
You are correct. I wanted to add more info but also wanted to keep it under 30 min and that was impossible. I wanted to touch on CP, IPMN and get into genetic testing and hereditary pancreatitis but it was too much for 1 video I think. CP is no joke. Well thanks for the input and all the best to you.
@@talkingcancer155 It makes sense to keep the videos short and on topic. The information was excellent. I just wanted to throw that out there because the symptoms of CP can be similar to those which you describe for pancreatic cancer, especially the epigastric and midback pain.
Thank you!
Thank you for the informative video. I'm yet to find out what's wrong, a PET scan and consultation are due this week.
I hope your scan is normal and that all goes well for you. All the best.
Good info to know. Having a CT scan next week with the pancreas protocol. The regular CT last week showed a possible mass on the head. Just trying to be an informed patient. Definitely will watch this again beforehand. Thank you.
I wish you all the best, and I hope that CT scan reveals a clean pancreas.
Doc! At this point everyone has cancer…tragic!!
It sure seems that way how common it is.
Seeing oncologist on Thursday, already had biopsy on my liver. Came back positive and mass on my pancreas. I have pain and lost 15 pounds.
Sorry to hear. Now you are better prepared to ask all the right questions. I wish you the best with your therapy.
Neil everyone who reads this is with you including me!!! 💐🎁
It came back stage IV. Only a couple of choices at this point. Never thought I would be staring this down in my life. I have a good support system. Thanks for reaching out to me. I have certainly learned a lot in the last few weeks.
@neilmatthews7331 damn. Sorry to hear. Just keep the family close and try to stay positive. 🙏
@@talkingcancer155Getting a port next week, first round of chemo day after Christmas. Fulforinox.
My sister just passed Nov 23, 2024. Fall of 2023 she started having pain in the abdomen and back. She assumed it was ulcers. I urged her to see a doctor, she waited months. February she was diagnosed with stage four pancreatic cancer.
Don’t wait
Sorry to hear that. I agree with you. Time is very important. Not only for pancreas but all cancers. All the best to your family.
Thank so much for this vital information ℹ️
Glad it was helpful! 🙏
Thank you so much for this comprehensive & well-delivered lecture on pancreatic cancer. Happy New Year 🎆🎊🎈.
Thank you for your feedback.
Great video! You explained it so well. I had no knowledge of what my close friend was going through. They give her 3 weeks to live. She's had jaundice for over 2 yrs. and didn't address it. Had emergency gallbladder removal. Cancer was discovered. Palliative chemo recommended. All treatment now stopped. Under Hospice care. Duration 6mos. from discover to now the end.
Unfortunately, this is common because pancreas cancer usually does not give symptoms early on. There are some patients whom do better and a lot goes into that. Sorry to hear about your friend and I hope she is as comfortable as possible.
So my grandfather’s mother had this cancer… and my grandfathers brother died from this cancer as well
I just got diagnosed with IPMN after an MRCP with contrast, there are multiple 5mm tumors which are communicating with the main pancreatic duct. No enlargement of the duct. My symptoms were pain under my left ribs, early satiety, nausea and vomiting if i eat more than 6 bites. I've lost 16lbs without trying. The tail is atrophied. Waiting for the EUS to be ordered. The radiologist didn't give a number, he just said multiple tumors. Didn't give a location of them, either.
Interestingly enough, my pancreatic enzymes are very low, I've never had pancreatitis. Never smoked or drank, but I've got NASH, No markers have been done yet, just had the MRCP on Wed. I've learned a lot from your videos, i was scared when they
I am glad my videos have helped you in some way. It really sucks to have IPMNs. The pancreas is a hard organ to do studies on. The EUS should provide good info. Well I wish you the very best. I will have some more videos coming soon about IPMNs. I am asked so many questions about this so I'm thinking about answering most of these questions in a detailed video. Let me see when I have some free time to get it done. Take care!
me too im going true al most the same mri next Month dit get a ct with contrast its in the tail and in the side branch several 5mm yes im learing im just 56 female
@@soze1078hi
Any updates?
Thank you for sharing. You were able to explain it in terms that we can understand a lot better. We definitely feel like I’m more informed. I just had a friend who died pancreatic cancer, but was only diagnosed about two weeks ago and the Doctor Who diagnosed him I believe said something like oh you probably have about 44 to 6 months or so approximately and he died within days after being diagnosed, really fast fast
You are welcome. Thats my goal and the reason I make these videos. Thanks for the feedback.
Great explanation of what to expect in the event of pancreatic cancer.
Thank-you. 🙏
I am a 53 year old female who presented with back pain that moved into my abdomen last October of 2023. I thought I had an ulcer. After months of no diagnosis I was finally told on 2/15/2024 that I had pancreatic cancer. It was a tumor on the head and borderline respectable. I started fulfirinox in March and did 7 rounds before I became too sick. I was extremely lucky in that my surgeon believes the chemo killed all of my cancer before I even had the surgery on 7/23. He said he could not find the tumor during the surgery and could only feel something where it was which she thought was just scar tissue. Pathologist also cannot find a single trace of cancer anywhere. I did three more chemo‘s after the surgery but had to eliminate The chemo that gives you neuropathy. to be honest, I wish I had seen this video. I think I was in a state of shock for the first few months and then just so sick from chemo I just went along with whatever I was told. I also wish there’s another video on how the Whipple surgery actually happens and how they put your body back together, but more importantly about the aftermath of this new body. It’s so complicated and frustrating and life-changing. I am finally feeling a lot better, but several months after that surgery were completely depressing with pain and nausea. I wish there was better aftercare for patients to understand how different it will be. Now we just have to pray it doesn’t come back.
That is awesome. Some patients really respond well to chemo. The fact they could not find the tumor after chemo is a big deal! I'm sorry you have been through a lot. Cancer at 53 is unfair. I really wish you the best and and a healthy 2025!!!
Could an aneurysm be caused from pancreas cancer ? My dad had pancreas cancer and passed away almost 25 years later from an aneurysm. He is in the books at the OSU James .
The short answer is no unless it was caused from tumor, surgery or radiation damaging the artery and leading to the local peripancreatic aneurysm. This would be rare. An aneurysm in another part of the body would not be caused by pancreatic cancer that I am aware of.
Thank you for this. I am part way through all these investigations after a lesion was recently found on my head of pancreas during a CT. So helpful to know that my doctor is doing all these tests. Pain, fatigue, weight loss, aversion to eating.
You are welcome. I hope everything turns out well for you. All the best.
Good education of the basics 👍. Any progress with Pacreatic transplants & other therapies ?
It's all investigational at this point. Lots of research on targeted therapy so I think this will be the next wave of treatment options together with immunotherapy. Very very slow progress but progress nonetheless.
My wife is stage 1b pancreatic cancer. Took her in for mediport placement and she won a free 50% pneumothorax of her right upper lung. Same Dr will preform the whipple after 3-4 months of chemotherapy.😮 they say he’s good at the whipple though. 6 days in and her chest tube is still on -40 suction with a pigtail. Tried to clamp it but had to go back to suction within hours. I don’t mind question.
Sorry to hear. These things happen and it does not mean he or she is a bad doctor. Chemo followed by surgery is a good option that we are using more and more. All the best to her!!!
Thank you for the information about this pancreas operation ❤
You're welcome. 🙏
Thank you for taking the time to explain this.
You are welcome. Thank you and all the best.
Great info. Thank you. Please keep it up.
I will. Thank you.
Thank you so very much, these videos are very helpful
I am glad they are helping you.
Thankyou so much.very helpful
Very to the point! Love this! Thank you!🙏🏼💜
You are welcome. Good health.
Hi, I haven’t been diagnosed, but my PA said he will send me to a Specialist to see at a early stage just to see . All for now Thank You !
Hope all is ok with you. Healthy 2025
Great information! Thank you
Your welcome
Very helpful video. Many thanks for taking time to explain.
I’d like to know which treatments/surgery are available when the mass is in the neck of pancreas?
Would a Whipple be an option? I realise you cannot comment on specific cases.
Husband is Awaiting the EUS biopsy in 15 days time.
Good to hear my video helped you. If needed find a good surgeon and leave it to them. They will usually remove it using the least invasive procedure possible. The neck is so close to the head that a whipple is usually the best and only option but if they can remove it with a less aggressive surgery then they will. They are getting really good at these surgeries. Like I said just concentrate on finding a trusted surgeon. All the best.
@@talkingcancer155 Thank you, we have what we believe to be an excellent surgeon.
He specialises in the upper GI area. We do believe that he has a plan.
Just waiting on the specifics after the EUS/biopsy is completed on 17th July.
We are in the UK where things tend to happen more slowly.
The waiting is hard, we’re scared things are getting worse with each day.
@alisonmacaskill4620 as you know time is important but having a good surgeon and plan are also very important so it sounds like you are doing things correctly.
@@talkingcancer155
I’ll let you know what transpires after the biopsy.
My husband is 63 years old and physically fit. Non smoker/social drinker, mild hypertension and a small hiatus hernia.
I think he’d be ok for a Whipple if that’s the course of action taken.
Ultra sound- liver- head of pancreas 2cm.
CT SCAN- very good test with IV contrast. MultiphaseCT pancreas contrast.
MRI SCAN - MRCP- with contrast.
Pet-scan- advanced disease.
Super video! Thank you for making this. So informative and well explained.
Thank you. I hope this helps you, and I wish you the best!
Excellent explanations!!!
Thank you. All the best.
Thank you very much brilliant explanation 🙏
It is my pleasure. Thank you
Very very helpful.much appreciated
Thank you.
Awesome. Thanks for the feedback!
Thank you Doctor for the video. it's very informative.
You are welcome.
God bless u for this video. What's the life span ???
Thank you. It really depends on the stage and how you respond to therapy. Variable.
Ok so I have a 1 cm cyst in my IPMN SIDE string family history pancreases cancer … I asked specialist to do ultrasound endoscopy he suggest I wait to see if it grows … any suggestions Doctor… thank you for all other information very helpful
It really depends on the case. A 1cm IPMN is not large so you have options. Waiting and repeating an MRI is an option. My suggestion is that if you have doubts you should consider a second opinion. This way, they can review your case and give you another point of view and this will also give you some piece of mind. All the best to you
Thank you for information
You're welcome.
That was a lot to absorb. Thanks.
I agree but a must know for patients. And imagine this is one cancer. Imagine treating all of them. Not easy. I wish you the best!
Thank you for sharing this information sir!🙏
You are very welcome
Hello doctor Roman, thank you so much for this excellent and informative video!! my mother was diagnosed 6 weeks ago with panceatric cancer, and they put in the stent, but unfortunately it didn't help, so at this very moment she is having the bypass surgery, so she will be able to eat more, not feeling any nausia, her tumor is in the head of the pancreas and the doctors in the Sahlgrenska University Hospital in Gothenburg said it was not possible to operate, but I must ask you why it would not be possible to radiate it and then surgery if possible? The doctors haven't told me yet which stage she's in, but they want to start chemo as soon as she's gaining weight a bit. Could you also explain why the stent didn't work? Is that common?
Most pancreas cancer are not resectable due to blood vessel invasion. There are other reasons but new literature suggests patients do better if they receive chemo before surgery. A Stent can fail due to several reasons. It can move, the tumor is large, location, etc. Every case is different but this is truly a hard disease to treat. Radiation is a problem because it is not extremely helpful in my opinion in a large tumor and there are so many surrounding organs that the radiation can hurt that makes radiation a bit problematic. I really hope your mom does better. Ask the oncologist to answer all your questions since they have all the details of her case. Be patient because as I said before this is a hard disease to treat.
Thanks for all your information. 😊
You are welcome. All the best.
Thank you very much Doc. for your information❤
You're welcome 🙏
Thank you veryyy useful information.
You're welcome. Glad you found it useful.
I have a question. Have you investigated yourself whether there are micro-parasites including intercellular parasites in cancerous lesions??
Not due to parasites since you would see them under the microscope. Cancer is due to DNA damage. There are some viruses which cause cancer by damaging your DNA.
Sir my father has a tumor in Ampulla of Vater And it was written in the report that it was Periampullary AdenoCarcinoma, so that it is not pancreas cancer?
It could be pancreas cancer if it started in the head of the pancreas and is invading the surrounding tissue including the ampulla. Most likely it originated in the ampulla or duodenum. Ask your oncologist since there are pathologic findings under the microscope and imaging findings which can help you tell. If the pancreas looks clean on imaging then it likely started in the ampulla. All the best.
yes it is started in ampulla of vater and limited to ampulla of vater and it spread to 2 lymph node.
so sir what is the cure rate in this?
@@talkingcancer155
I have a family member effected by this currently. We have been informed it is impacting the blood vessels in the head/neck area.
We are waiting on scans to determine how much they are effected. Would appreciate a straight answer on time frames/life expencty if they are indeed fully impacted.
That's a hard question to answer and we are almost never accurate. If there is no metastasis and all is local then the prognosis is a little better with treatment. I have had patients live almost 2 years with very advanced disease but that is not as typical. Unfortunately this is a very aggressive cancer and life expectancy ranges from 6 to 18 months with treatment BUT BUT BUT highly variable!!! Everyone is different. All the best to your family!
Thank you…A question if I may? @talking cancer155 ..My partner has just had a successful Whipples procedure for Adenocarcinoma..Head of Pancreas.( we are in Australia…) They are calling it Locally advanced.Found cancer in two nodes in the area near the resected PC…He is now slowly recovering ..He does not want to have Chemotherapy at all! And is very definite about this, which I respect. I know it is an aggressive cancer with a high probability of return….Can you give me a rough idea, from your extensive experience..about the approx length of time he may have..I know there are variations and everyone is different…but a time frame would be a huge help…I am fairly realistic about the possible prognosis( retired nurse here) thank you ….From Oz
@@talkingcancer155 3
@bronwynquinn4477 sorry to hear. As you said this is highly variable. In this case unfortunately the majority recur and the average life expectancy is 6 to 18 months but once again highly variable. Chemo can improve this somewhat. But then again there are some patients that do much much better. I have seen some patients defy the odds so you NEVER know. I hope the best for you all.
My husband died 8 months after suffering.
No oncologist, specialist in zimbabwe or S africa picked it up!.
Rolling around in back pain.
Itchy skin
Vomiting bile, not food, infront of the specialist!.
They all said he was a depressed FARMER, we had every test, even bone marrow,
Every tunnel, nothing.
All bloods, tested weekly.
No symptoms.
No one believed me, that he was very ill.
He wasted away in pain, .
An absolute disaster, i had to beg for pain killers.
TWO COUNTRIES, 3 X AIR EVACUATIONS! .
the specialists apologized to me afterwards.
Hmmmmm.
XX from zambia
Wow. Sorry to hear that. Not fair!
I can't gain weight- lost weight. BMI is a low 20. I eat a lot. I was heavy before. Tests are all OK though. Lost Gallbladder a few years ago. I have energy so overall ok I think. Saw 4 Doctors and none had any answers.
Sorry to hear. I hope your health improves.
@@talkingcancer155 Thanks. Other than being too thin, I think I am pretty good. I can hike for hours- hit the gym. Nothing really holds me back. Just tired of dumb comments about my weight. That does get to me. When I was fat no one said a word.
@MOAB-UT the world is full of simple-minded people. Surround yourself with a few good people and ignore the rest. Live your life and try to improve humanity. That is all we can do.
@@talkingcancer155 Yeah but many of them are smarter than me. Random strangers- just hurts. Tried to be happy the other day at 8am, getting some sun with my dog. My over weight neighbor stares at me. I don't even know her... "HI- So you are losing some more weight hugh?" NO! I am the same weight from the last time you made a comment last week. Please stop saying that- it bothers me. "Hmmm. Ok." So How are things and your wife- I see her walking your dog too? Me: Getting Divorced. Really? ME: Walks away. LOL. You have to try to laugh at life sometimes. When it rains it pours- can't all be sunny days I guess. I had plenty of those in the past.
Take gallbladder enzymes?
Can having a damaged Pancreas due to a Stone blockage, lead to Cancer ?
Mine is damaged to where I now have to take extremely expensive enzymes, to digest my food !
If you developed chronic pancreatitis then yes. But the risk is not huge. You should find out what level of damage. Then again many develop pancreas cancer with no prior pancreas damage so go figure.
My husband was diagnosed of Pancreatic cancer 3years ago,but it was surprised that he just lived almost 3days only,its sad he had no symptoms that should had been medicated..
Sad indeed. Sorry to hear.
@talkingcancer155 thanks fot the heartfelt message
Could you explain what a Stump tumor is?
You mean Stump in the uterus? That is a very rare tumor of smooth muscle which is usually treated with surgery. I have never seen one.
Fantastic, thanks so much!!!
You're welcome. All the best.
My father diet from pancreatic cancer, and he went to the doctor for at least 6 months or so, and they kept misdiagnosing things. And then finally, in may, he invited everybody to his birthday party and told everybody this would be his lost birthday and uh, he got diagnosed with pancreatic cancer in july and died in august.
Sorry to hear that. It really is an aggressive illness.
This is valuable info
Thank you. Glad you find it helpful
When it comes to cancer, no one ever thinks of going keto or just hard core fasting.
We think people in times past did not get cancer because their lives we short. But many fasted because of shortages and season availability of food.
I agree! Types of Keto and/or Carnivore fasting is a vast help to fight against cancer! My sister passed of aggressive ovarian cancer. In the beginning she was so amazingly strong mentally and physically. I will always be sad that I did not have this knowledge then, because she would have thrown herself into fasting whole-heartedly.
That's a good topic and one we need to learn more about.
How long can a patient be given palliative chemo if the tumor is non resectable?
As long as the chemo is working and the patient is tolerating it. There really is no specific time frame. A patient can be on chemo a long time. Really depends on the patient and if they are deriving a benefit from the chemo. If they are not tolerating it then you can reduce the dose or change to another regimen. If it is not working because the tumor is growing then obviously we would change to another chemo. I hope this helps.
@@talkingcancer155 it does, thank you! We just got the wonderful news that the chemotherapy worked for myfamilymember. No active disease on scans. Surgery in 4 weeks.
Dad died from pancreatic cancer. They first said you have pancreatic cancer if your here for that there’s nothing we can do. If you’re here for the pain we can help. He of course got upset. After that for the next 5 years he suffered as they said he didn’t have it. He had stents. He had sepsis twice. They resuscitated him twice yet the pet scans kept saying he had nothing. He thought he was going insane. The last year they finally said the pet scan picked up the pancreatic and duodenal cancer. So cruel. I don’t understand what happened. Were they purposefully not telling him or were the scans not picking it up. Although 5 years previously it did.
Sorry to hear. There are many possibilities there so I think you should sit down with his doctors and have them explain to you the details of his case. All the best.
@ Thank you. We did try at the time. They kept saying he didn’t have cancer which most of the family believed. This caused a full family rift ( which never healed)as dad was trying to go to other hospitals for help the family that believed the new Drs would get angry at him for taking up valuable time from the Medical staff.
All we were told at the end was that it was the cancer was massive but it was hiding. Yet that first Dr said he had pancreatic cancer. In hindsight he had all the symptoms.
What I’m wondering can the Drs decide to keep the diagnosis from the patient? When there were emergencies and many Drs came running there was always an oncologist. Why if he didn’t have cancer?
The problem is we now don’t trust Dr’s.
My GI doctor refused to write a lab order for me to test CA19-9 and CEA. Can you write a lab order for me? I have IPMN in the uncinate process. I am willing to pay out of pocket.
Remember you can always obtain a second opinion. Please remember that I am not your doctor and my video's are for education only. You can also speak to your primary care physician. I sincerely wish you the very best with your health.
Good info.
Thank you. I wish you good health
Endoscopic ultrasound- sonogram camera. Obtain a biopsy
The yellow pancreas triggers me the 3rd horizontal yellow line in the Germany flag,,?
Thank you.
Excellent!
Thank you. Glad it helped.
Thank you so much, much doctor for your expert tutorial. I know of someone who had real aching back problems & had to hold on side of bed to get up. Really bad. Told dr they lifted heavy objects & thought they pulled back muscles. Gave them a steroid shot in back muscle. Almost a year later, it got worse. Finally they had to go to hospital. Thought it was a blocked colon. Not so. They had to have this EUS. The oncologist said it was in a non-removable place. Sooo, time for treatment. He wouldn't remove it. No major illnesses, or covid, flues, viruses. I pray for them each day. Hope they have a longer life. God Bless you for your knformative video & details. Now i understand it better from what i was told.😂❤
You are very welcome. All the best to them. 🙏
I have MDS/MPN overlap syndrome. I know! ???
That will obviously alter your blood counts but your oncologist does have treatment options to offer you.
@ - yes, but I also have CLL. It was first , then the 2nd blood cancer popped up 7 years later. Went on Immunotherapy for 2 years; now I’m in a period of remission the past 15 months.
Dormant nodules in pancreas, how dangerous is?.
That's a hard question to answer because it could be many things. A true nodule vs a cyst? IPMN, neuro endocrine tumors, cancer, pseudocysts. I have a video titled IPMN and pancreatic cysts you may want to check out.
My husband died of pancreatic cancer
Does celiac disease affect the pancreas
Celiac can affect the pancreas. It can increase the risk of pancreatitis. Celiac is not my specialty so I would ask a Celiac specialist. I wish you the very best.
Sorry to hear. 🙏
Lots since the experiment was rolled out sadly.
Thankful heaven bless
Good health. 🙏
Thank you
You're welcome
Most important question to ask your doctor is the percentage of people still alive 5 or 6 years later with or without treatment and their quality of life.
As a nurse, I do see that, today, more than ever, people need to be their own advocates, either for or against treatment. However, it shouldn't be this way. People should not need to try to gain the knowledge doctors learned over years. As for seeding during biopsy, I was taught that this didn't happen. However, my sister-in-law died 18 days after her bone biopsy/CA diagnosis of bone cancer. It had been localized in her hip bone until the biopsy. When she died she had cancer literally everywhere.
Sorry to hear about your family. The thing is that every case and patient is different so this video is so patients know the basics and they can expand upon that.
Is an ultra sound of abdomen give to take every year? They can see head of pancreas 😊
A transabdominal ultrasound is easy to do and cheap but not a good test to view the pancreas. You can see the head of pancreas in some patients, especially if thin but overall not a great test for screening pancreas. An EUS is a different story but obviously invasive.
Thank you Sir ❤❤❤
You're welcome 🙏
cea- CA 19-9
Need to know anything no cure chemo sick every day stress losing weight stressful pain where is the technology it's sad.
The treatment is definitely hard but it is the best we have. Hopefully research continues to improve our treatment options.
Extreme Keto combined with nutritional supplementation turns these patients around very quickly. The Warburg study and detection scans today along with tumor growth after death prove that malignant tumors consume sugar to grow. No money in that though huh? I like to cut something…absolutely FREE 👍😃
What is the life span?.
It really depends on the stage. Stage 4 is less than an earlier stage. Everyone is different.
Fenbendazole Enhancing Anti-Tumor Effect: A Case Series
I'm going to look into it. Thank you
Febendazole looks promising 👍
I lost my sister from it
Sorry to hear that. Unfortunately it is a common issue.