Pancreatic cancer the least funded cancer in terms of research. Despite causing enormous mortality, pancreatic cancer receives (on a mortality basis) much less funding for research.
Click Here to Help
Pancreatic cancer the most aggressive of the major cancers, has the highest mortality rate, and the LEAST funded. There are no early detection tests.
Click Here to Help
Pancreatic cancer
Pancreatic cancer has the lowest survival rate of all cancers. This year, an estimated 56,770 adults (29,940 men and 26,830 women) in the United States will be diagnosed.
Click Here to Help
Walk, Run, or Choose your own!
Set up a fundraising page to start now! We will be in touch, and be with you all the way!
Click Here to Start


Join us in our effort to fight pancreatic cancer. Donations allow for timely delivery of critical information about pancreatic cancer.


Signs and Symptoms

Generally, the diagnosis of early pancreatic cancer (adenocarcinoma of the pancreas) is very difficult. The most common symptoms of cancer of the pancreas include loss-of-appetite, weight loss, abdominal discomfort and nausea. As these are all fairly non-specific symptoms, there is often delay in getting to the final diagnosis. The most common physical sign of pancreatic cancer is jaundice, with or without associated itching. Proceeding to a medical evaluation often requires a high index of suspicion by the patient or by medical personnel who are experienced with the presentation of early pancreatic cancer.


Often lab results in pancreatic cancer show a high bilirubin (yellowish bile pigment found in the serum) and elevated liver function enzymes. The CA 19-9 marker, a Lewis blood group-related mucin, is frequently elevated in pancreatic cancer, but its use as a sole agent in the screening for or diagnosis of cancer of the pancreas is not presently a fully accepted practice. High CA 19-9 levels may tend to be associated with (but do not always indicate) larger sized tumors and with a decreased likelihood of surgical resectability. The use of this marker is more universally accepted as a running measure within a particular individual (after diagnosis), to help reflect the stability, response, or progression of pancreatic cancer to treatment.


Raise Awareness. Raise Hope.

Choose a Walk, Run, or any Activity that you like and Dedicate your participation to Pancreatic Cancer. Simply set up your Fundraising page. We will send you a participation packet containing great information, athletic shirt, awareness bracelets, and other fun goodies!

Staging Studies

The main reason for the diagnostic staging of pancreatic cancer is to try to chart the best course for treatment, especially to help decide whether a patient is a candidate for surgical resection. There is a great deal of flux and controversy in these areas of diagnoses; there are institutional and even geographical variations in considered opinions as to the correct approaches in regard to these diagnosis / staging techniques. Also, there may be great variability in the experience level of the operators and evaluators of a given diagnostic procedure – thus (perhaps rightfully) coloring the institution’s approach at recommending which diagnostic studies are used. In the context of these understandings, the following brief overview will try and point out some strengths and weaknesses of certain of the current diagnosis staging procedures.

Generally, in the U.S., the dynamic spiral (or helical) CT scan with IV and oral contrast media enhancement is considered to be the procedure of choice for the diagnosis / staging of pancreatic cancer. With the latest equipment and with experienced operators and evaluators, this approach at diagnosis can detect up to 90-95% of cancer of the pancreas. Specific pancreatic cancer tumors that are greater than ½ to one inch in diameter can usually be detected. These CTs can predict unresectability about 90% of the time; but are less accurate at predicting surgical resectability. Its diagnostic strength in this regard is related to its ability to demonstrate pancreatic extension involving local arteries. This technique is less reliably able to show subtle local vein involvement, to detect or diagnose small liver metastasis or to pick up lymph node involvement in pancreatic cancer.


Transabdominal ultrasound is a more popular diagnostic procedure for pancreatic cancer outside of the U.S. where operators are more experienced and generally the patient-population may be less obese – a big problem in imaging structures through the abdomen. In experienced hands, with a thin patient and with good equipment, this ultrasound approach can often diagnose or detect smaller pancreatic cancer tumors than are even found by the CT procedure.

Two other ultrasound procedures are of note. The endoscopic ultrasound (ultrasound through a tube which is placed down the esophagus) can be very good at finding small tumors in the pancreas. And laparoscopic ultrasound (ultrasound through a small tube placed through the abdomen into the region of the pancreas) is sensitive at finding liver and peritoneal involvement in pancreatic cancer, without having to resort to full surgery.

Pre-operative angiography (viewing contrast dye placed in select arteries) is recommended by some surgeons for pancreatic cancer diagnosis and staging, although the introduction of spiral CT has provided a competing option.

CT or ultrasound-guided percutaneous biopsy (via needle) can retrieve a bit of pancreatic tumor tissue for histologic (microscopic) viewing without requiring full pancreatic cancer surgery. There exists some concern about the risk of inadvertent “seeding” of the tumor into the peritoneum with this technique, but some experts feel that the potential risks outweigh the potential harm in selected cases.


Often an institution will have a coordinated approach at the diagnosis and staging of pancreatic cancer. For example, a spiral CT procedure might be done first. If it appears that there is a pancreatic cancer tumor and that it might be resectable, the next step might be a diagnostic laparoscopy (for direct visualization) – with perhaps a peritoneal wash (to check for malignant pancreatic cancer cells in the peritoneum) and with or without a laparoscopic ultrasound exam. If evidence of unresectability is found, a percutaneous biopsy might be done, to fully establish the diagnosis of the type of pancreatic cancer and to help with medical treatment planning. If no evidence of unresectability is found, then a full abdominal surgery might typically ensue to further evaluate the clinical status with an aim of the diagnosis of pancreatic cancer – and if finally so indicated to proceed with the most appropriate surgical procedure.


The following are descriptions of titles of abstracts of medical journal articles that may be interesting or useful to those who are interested in further information about this topic.These abstracts can be searched Here.

  • 1-Jul-16 – Exosome scrutiny for early diagnosis of adenomacarcinoma of the pancreas  
  • 1-Jul-16 – Kras mutations in pancreatic “juice” for diagnosis of adenocarcinoma of the pancreas 
  • 1-Feb-14 – MRI in the Identification of Cystic Pancreatic Tumors
  • 21-Mar-13 – Fine Needle Biopsy via Esophageal Ultrasound in Small Pancreatic Tumors
  • 1-Jan-13 – Timed Breathing Radiographic Procedures for Pancreatic Cancer Diagnosis
  • 1-Dec-12 – CTC Diagnosis in Cancer of the Pancreas
  • 1-Nov-12 – Multiple Imaging Methods in the Diagnosis of Pancreatic Cancer
  • 1-Oct-12 – Radioimaging in the Diagnosis of Pancreatic Cancer
  • 28-Aug-12 – EUS for Pancreatic Cancer Diagnosis
  • 24-Jul-12 – 80KV CAT Scanning Advantage for the Diagnosis of Pancreatic Cancer
  • 1-Jul-12 – EUS Needle Biopsy Procedure
  • 1-Apr-12 – Endoscopic Ultrasonography Fine-Needle Aspiration of Pancreatic Tumors
  • 1-Jan-09 – Serial CAT Scans Following the Effect of Induction Therapy of Pancreatic Cancer
  • 1-Jan-08 – Pre-surgical Diagnosis of Pancreatic Cancer

Join the fight against pancreatic cancer!

Set up a fundraising page to join the fight! We will be in touch, and be with you all the way!

Our science board is composed of:

James Abbruzzese, MD Chief, Medical Oncology Duke University

Markus Büchler, MD Chairman, Surgery Heidelberg University, Germany

Ralph Hruban, MD Director, GI / Liver Pathology Johns Hopkins University

Eileen O’Reilly, MD Associate Director for Clinical Research – Memorial Sloan-Kettering Cancer Center

Margaret Tempero, MD Chief, Medical Oncology University of California at San Francisco


Walk, Run, or Choose your own!

Set up a fundraising page to join the fight against pancreatic cancer. We will be in touch, and be with you all the way!

Sign up for the latest news about pancreatic cancer, ways to help, and more!

You have likely found us either because you have pancreatic cancer, or care about someone who does.

Our Philosophy About Pancreatic Cancer

Pancreatic cancer is a serious disease. Taking an aggressive rational stance at the earliest possible time, supported by the best medical team, and treated in the most appropriate manner gives the best chance for survival.

We believe in strong patient-physician bonds, scientifically-based treatment, and that comfort can come from knowing that everything that reasonably can be done – is being done.

That the best approach is meeting cancer of the pancreas head-on and armed with the best available information.

Genetic Testing for Pancreatic Cancer

PROPOSED: Every newly diagnosed person with pancreatic cancer (ductal adenocarcinoma of the pancreas) should receive genetic screening prior to beginning treatment – to test for germline genetic mutations in the homologous recombination DNA repair pathway, including genes such as BRCA1, BRCA2, PALB2, and others. These results, in from 12% to 17% of pancreatic cancer patients, suggest that treatment that includes DNA cross-linking agents such as platinum compounds or PARP inhibitors may be superior to standard best practices therapy.

OFFER: Color Genomics offers a 30-gene cancer panel for $224 (normally $249) when the Promotion Code “PANCREATIC” is entered at checkout (price will reduce upon entering this code). This is a physician-ordered saliva kit. Click Here for more information

RATIONALE: The age of precision medicine in pancreatic cancer is approaching … [MORE]

Check out the Suzanne Wright Foundation

CodePurpleNow is their campaign inspired by Suzanne Wright and her fight against pancreatic cancer. During her lifetime, Suzanne dedicated herself to the most vulnerable among us. After her diagnosis, she made it her mission to fight pancreatic cancer with that same determination. More Here

Speak with a Survivor:

Call 1-800-433-0464 for a free service that will place you in contact with a fellow survivor, or to volunteer to contact someone more recently diagnosed.

Pancreatic Cancer Blog

One of the observations that physicians often made when the standard of care treatment typically consisted of the chemotherapy drug agent of gemcitabine alone, was that many patients with pancreatic cancer (ductal adenocarcinoma of the pancreas) seemed to feel better after the initiation of treatment… More Here


Best of the Blog

© 2019 Pancreatica. All rights reserved | Privacy Policy
312 Fountain Avenue, Pacific Grove, California 93950   |   Phone: (831) 658-0600   |   Fax: (831) 658-0518  |

Dedicate your birthday to fight pancreatic cancer or simply set up a page to honor a loved one.