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Pancreatic Cancer

At Forsyth Surgical Associates, we offer a comprehensive and transparent approach to the management of pancreatic cancer whether it be surgical or medical. Pancreatic cancer is the seventh most common cause of death in the United States. It can originate from different types of cells in the pancreas. In addition, there are several different types of pancreatic tumors, some of them can turn into real pancreatic cancer, known as adenocarcinoma of the pancreas.

Pancreatic cancer surgery

Dr. Singh can perform different types of surgery for different locations of the tumor in the pancreas. It can be done laparoscopically or as an open surgery.

Whipple Procedure (Pancreaticoduodenectomy)

The Whipple procedure is one of the most complex abdominal surgeries. It involves resection of the head of the pancreas, bile duct, gallbladder, part of the small intestine, Duodenum, and a portion of the stomach. A free booklet about pancreatic cancer can be downloaded http://lustgarten.org/pancreaticcancerbasics from Lustgarten foundation. This is a very good book and all of my pancreatic cancer patients get a copy of this. This is all the way down at the bottom of the page and can be downloaded free as a PDF file. You may also order the book, or hard copy, through the site.

Distal pancreatectomy

This is performed for very large locally advanced tumors in the body and tail of the pancreas.

Laparoscopic distal pancreatectomy

Dr. Singh can perform a distal pancreatectomy that can protect the spleen or with a splenectomy for pancreatic tumors.

Total pancreatectomy

This is performed when the disease is involving most of the pancreas.

Liver Cancer

There are several different type of liver tumors, some are benign but most of them are malignant.

  • Primary hepatocellular carcinoma (HCC) – This is actually the primary liver cancer which arises from the liver cells. Common causes are cirrhosis, hepatitis, alcohol etc.
  • Cholangiocarcinoma – This type of tumor arises from the bile ducts inside the liver. These tumor grow along the bile ducts.
  • Metastatic cancers – usually from other parts of the gastrointestinal tract like colon or other parts of the body like breast.
  • Adenoma – Benign tumors arises inside the liver, usually in young women in the child bearing age. Most common cause is considered to be oral contraceptive pills. They can turn rarely into malignant cancer.
  • Focal nodular hyperplasia (FNH) – This is benign hypertrophy of the liver tissue. These has characteristic appearance and can turn into cancer rarely.

Treatment

Almost all the tumor, mass, cancer in the liver can be treated by surgery if they are in early stages. There are several other options if they are unresectable. Sometimes, when they are in advanced stage then Chemotherapy, radiation or palliative treatment in the only option. Several medical diseases like hepatitis can be managed medically. Usually these followed by medical liver specialist called as hepatologist and gastroenterologist.

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