Berlin (dpa) – Your pancreas has important jobs to do. A large, tadpole-shaped gland behind the lower part of the stomach, it produces hormones that regulate blood sugar and enzymes that help digest food. What if it develops cancer? A diagnosis of pancreatic cancer is a huge shock for the affected person and their loved ones in view of the low survival rate. "Ninety per cent die within five years," says Lutz Otto, chairman of Germany's Association of Pancreatectomized Patients (AdP), ie. having had all or part of their pancreas surgically removed. As with other types of cancer, the earlier that pancreatic cancer is detected, the better the chances of successful treatment. But in contrast to breast or colon cancer, for instance, there's no widely accepted screening procedure for early detection. The tumour grows slowly, often causing no or only vague symptoms until the cancer has spread to other organs. So it's all the more important to heed the possible signs and symptoms when they arise. These include: chronic upper abdominal pain, often described as dull and deep unexplained back pain nausea and vomiting, which can occur if the tumour constricts the duodenum or pylorus (the former being the part of the small intestine immediately beyond the stomach, and the latter the opening from the stomach into the duodenum) diabetes, which can appear a year or two before other symptoms jaundice – marked by yellowing of the skin and whites of the eyes – if the tumour blocks the liver's bile duct stool that is light-coloured and greasy, sticky or shiny, according to the Cancer Information Service at the German Cancer Research Centre (DKFZ) unexplained weight loss or loss of appetite increased tiredness or weakness night sweats a palpable abdominal mass If such signs and symptoms as these arise without a clear cause, or persist for around two to four weeks, the DKFZ advises seeing a doctor. People with a heightened risk of pancreatic cancer should be especially alert to the warning signals. This applies, for example, to people with at least two first-degree relatives – parents, siblings or children – with the disease, the DKFZ says. They would be well advised to undergo imaging, such as MRI (magnetic resonance imaging) or endoscopic ultrasound, ideally at a university hospital's pancreatic cancer centre. Having a family history of the disease isn't the only risk factor, however. Others include smoking, obesity and drinking a lot of alcohol. The following information is not intended for publication dpa/tmn rid yyzz n1 lue ob
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