Emergency:

Helpline:

Pancreatic Cancer Symptoms: Early Signs, Progression, and How to Identify Them

By Dr. Ganesh Nagarajan in Nanavati Max Institute of Cancer Care , Hepatobiliary Pancreatic Oncology Program

Apr 24 , 2023 | 5 min read

Pancreatic cancer is a serious and progressive disease that affects the pancreas, a vital organ located behind the stomach. It plays a crucial role in producing digestive enzymes and hormones like insulin. Pancreatic cancer occurs when abnormal cells in the pancreas begin to grow uncontrollably, gradually replacing healthy tissue. This type of cancer is often diagnosed in its later stages due to subtle early symptoms, making timely detection critical. In this article, we will discuss pancreatic cancer symptoms, stages, and diagnostic methods, as well as the importance of early diagnosis and treatment.


What is Pancreatic Cancer?

Pancreatic cancer develops in the cells of the pancreas, which is responsible for producing digestive enzymes and regulating blood sugar levels. The most common type of pancreatic cancer is pancreatic ductal adenocarcinoma, which originates in the ducts of the pancreas. When left untreated, pancreatic cancer can metastasize to other organs, resulting in further complications.

Key Symptoms:

  • Persistent abdominal pain and back pain
  • Unexplained weight loss and loss of appetite
  • Yellowing of the skin and eyes (jaundice)
  • Nausea, vomiting, and bloating
  • Dark, foul-smelling urine
  • Itchiness and increased blood sugar levels
  • Fatigue and general weakness


Pancreatic Cancer Symptoms: Early Warning Signs

While pancreatic cancer symptoms may not be noticeable in the early stages, it is essential to be aware of any signs that persist over time. Below are some of the most common symptoms of this disease:

Common Symptoms of Pancreatic Cancer:

  • Persistent Abdominal and Back Pain: A dull, nagging pain that may worsen after eating.
  • Unexplained Weight Loss: Significant weight loss without any obvious reason.
  • Loss of Appetite: Difficulty eating or feeling full after consuming only a small amount of food.
  • Abdominal Bloating: A feeling of fullness and discomfort in the abdomen.
  • Nausea and Vomiting: Frequent nausea and occasional vomiting.
  • Jaundice (Yellowing of Eyes and Skin): A yellow tint in the skin or the whites of the eyes.

If you experience these symptoms, it's essential to consult a healthcare professional for an accurate diagnosis.


Stages Wise Symptoms of Pancreatic Cancer

Once pancreatic cancer is diagnosed, it is staged to determine the extent of the disease and develop an appropriate treatment plan. The cancer is classified into four stages, which help determine treatment options. As the cancer progresses, the symptoms become more pronounced and may vary according to the stage.

Stage Breakdown:

Stage 0:

  • Symptoms: In this stage, cancer cells are limited to the lining of the pancreatic ducts, and no noticeable symptoms are present. It’s commonly referred to as carcinoma in situ. If symptoms do appear, they are often mild or nonspecific, such as slight discomfort in the upper abdomen.

Stage I:

  • Symptoms:
    • Mild abdominal pain or discomfort that may worsen after eating.
    • Loss of appetite or feeling full quickly after eating.
    • Unexplained weight loss.
    • Fatigue and a general sense of weakness.
    • Jaundice (yellowing of the skin and eyes) may be noticeable in rare cases, though the cancer is still localized.

Stage II:

  • Symptoms:
    • Severe abdominal pain that radiates to the back.
    • Increased bloating and feeling of fullness in the abdomen.
    • Nausea and vomiting, especially after eating.
    • Weight loss becomes more noticeable.
    • Jaundice becomes more apparent, with skin and eyes turning yellow.
    • Itchiness may occur due to bile buildup.
    • Dark-colored urine and pale stools are more frequent.

Stage III:

  • Symptoms:
    • Severe abdominal and back pain that is often constant.
    • Increased fatigue and weakness as the body struggles with the progression of the disease.
    • Yellowing of the skin and eyes becomes more pronounced.
    • Increased difficulty in eating due to bowel obstruction or difficulty digesting food.
    • Fatigue may become debilitating.
    • Pale stools and dark urine are frequently observed.

Stage IV:

  • Symptoms:
    • Severe abdominal pain and back pain that may be persistent.
    • Weight loss and muscle wasting become more severe.
    • Bowel obstruction, leading to difficulty passing stool.
    • Jaundice (extensive yellowing of the skin and eyes).
    • General body weakness and extreme fatigue.
    • Breathing difficulties, especially if the cancer has spread to the lungs.
    • Swelling of the abdomen due to fluid buildup.
    • Metastatic symptoms related to cancer spread to distant organs, such as the liver or lungs.

Treatment at this stage is focused on palliative care, as the cancer has spread to other parts of the body, making curative treatment challenging.


How is Pancreatic Cancer Diagnosed?

Since symptoms often don’t appear until the cancer has progressed, early detection is challenging. However, if you experience persistent symptoms, your cancer doctor may recommend the following diagnostic tests:

Diagnostic Methods:

  1. Physical Examination: The doctor will examine your abdomen and check for signs of jaundice or tenderness.
  2. CT Scan (Computed Tomography): A CT scan can help identify the location and size of a tumor in the pancreas.
  3. MRI (Magnetic Resonance Imaging): This imaging technique offers detailed images of the pancreas and surrounding structures.
  4. Ultrasound: An ultrasound may be used to detect blockages or abnormalities in the pancreas.
  5. PET Scan (Positron Emission Tomography): A PET scan can detect cancer spread to other organs.

Early diagnosis is key to improving treatment outcomes, so if you suspect pancreatic cancer, speak to a healthcare provider immediately.


Conclusion

Pancreatic cancer is a deadly disease, but early detection and treatment can significantly improve survival rates. If you notice any pancreatic cancer symptoms, don’t hesitate to seek medical attention. Regular check-ups, maintaining a healthy lifestyle, and being aware of your family medical history can help reduce your risk of developing pancreatic cancer.


Frequently Asked Questions

1. What are The First Signs of Pancreatic Cancer?

The first signs of pancreatic cancer can include mild abdominal discomfort, unexplained weight loss, and loss of appetite. Jaundice (yellowing of the skin and eyes) is also a common early symptom, although it may not appear until later stages.

2. Can Pancreatic Cancer Be Detected Early?

Early detection of pancreatic cancer is challenging due to the lack of specific symptoms in the early stages. Regular screenings and awareness of risk factors can help in detecting the disease sooner, especially if there is a family history of pancreatic cancer.

3. What are The Survival Rates For Pancreatic Cancer?

The survival rates for pancreatic cancer are generally low, especially in advanced stages. However, survival rates are higher for those diagnosed in earlier stages, where surgical removal of the tumor may be possible.

4. Is there a Cure for Pancreatic Cancer?

While there is no definitive cure for pancreatic cancer, treatment options like pancreatic surgery, chemotherapy, and radiation therapy can help manage the disease and improve the quality of life. Palliative care may also be provided to help relieve symptoms in advanced stages.

5. How Fast Does Pancreatic Cancer Spread?

Pancreatic cancer tends to spread quickly due to its aggressive nature. It can often metastasize to nearby organs such as the liver, lungs, or lymph nodes, making it difficult to treat once diagnosed at a late stage.