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    Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment
    Unavailable
    Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment
    Unavailable
    Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment
    Ebook150 pages1 hour

    Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment

    By Kenneth Kee

    ()

    Currently unavailable

    Currently unavailable

    About this ebook

    Pancreatic Cancer

    A 70 year patient of mine had chronic gastric pains for many years which improved with medications.

    I have always advised him to see a specialist for a gastroscopy.

    Eventually he went and the gastroscopy did show the presence of gastric ulcers and the bacterium Helicobacter pylori.
    With treatment of the gastric ulcer and bacteria, further gastroscopy showed that the stomach was clear of ulcers and bacteria.
    However the pain persisted.

    So he went to see all the specialists in Singapore, America, Europe and United Kingdom.
    All the tests did not showed any serious illness.

    As the pain became worse, a MRI of the pancreas finally confirmed the presence of Cancer of the Pancreas.
    By that time the cancer had spread to the liver and other parts of the body.
    Treatment was only palliative.

    Although a multimillionaire all his money could not get him a recovery and he finally succumbed to his illness.
    Cancer of the Pancreas is one of the difficult cancers to detect and cure

    One other example is the late Steve Jobs who died of pancreatic cancer.

    What is Pancreatic Cancer?

    Pancreatic Cancer is a malignant disease of the exocrine pancreas.90% are adenocarcinomas.

    What are the causes of Pancreatic Cancer?

    1. Smoking. cigarettes smoke chemicals has been known to damage the pancreatic cells

    2. Diets rich in red meat- high protein tends to stimulate more enzymes from pancreas and cause dysfunction in the cells

    3. Diabetes mellitus -damage to islets in pancreas may contribute to pancreatic cancer

    4. Chronic pancreatitis has been found to have some causal effect.

    5. Helicobacter pylori infection -known to cause stomach cancer and also pancreatic cancer

    6. Occupational exposure to certain chemicals including insecticides

    7. Family history -there is a family history in 5-10% of pancreatic cancer patients

    8. Obesity - the high fat diet may induce more disease of bile system with blockage of its tract.

    What are the symptoms and signs of Pancreatic Cancer?

    Symptoms are non-specific and varied.

    1. Pain in the upper abdomen that typically radiates to the back.

    2. Pain relieved by leaning forward

    3. Painless jaundice related to bile duct obstruction (carcinoma of the head of the pancreas)

    4. Depression is sometimes associated with pancreatic cancer

    Signs:

    1. Tenderness in upper abdomen

    2. Mass in the abdomen

    3. Trousseau sign

    Spontaneous blood clots in veins of extremities or the superficial veins may indicate presence of pancreatic cancer

    How is the Diagnosis of Pancreatic Cancer made?

    Diagnosis can usually be made by:

    1. Pain in upper abdomen radiating straight to the back, worse on eating

    2. Weight loss severe with anorexia, early satiety, diarrhea, or steatorrhea

    3. Jaundice - initially painless, itchy with dark urine
    Painful jaundice occurs later

    4. Onset of atypical diabetes mellitus

    5. Unexplained recent thrombophlebitis

    6. Past history of pancreatitis

    7. Location of cancer

    a. Tumors in the pancreatic body or tail usually present with pain and weight loss

    b. Tumors in the head of the gland typically present with steatorrhea, weight loss, and jaundice

    8. Courvoisier sign presence of jaundice and a painlessly distended gallbladder is suggestive of pancreatic cancer

    9. Liver function tests (LFT)

    LFT may show a combination of results indicative of bile duct obstruction (raised conjugated bilirubin, SGGT and alkaline phosphatase levels)

    10. Blood CA19-9 (carbohydrate antigen 19.9)

    11. Endoscopic ultrasound (EUS) is another procedure that can help visualize the tumor and obtain tissue to establish the diagnosis.

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 21, 2015
    ISBN9781311316400
    Unavailable
    Cancer of Pancreas, A Simple Guide To The Condition, Diagnosis And Treatment
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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