On January 1, 2020, Carol and her husband traveled to Florida for the start of their four-month winter vacation. Carol felt fatigued as soon as she arrived, but did not initially give much thought to it. After a few days, Carol’s exhaustion had grown, and she’d developed a new pain in her abdomen.
Pancreatic Cancer: Introduction
Learn the basics of pancreatic cancer, including the types of cancer in the pancreas.
The Tucker Gosnell Center for Gastrointestinal Cancers is one of the largest and most experienced centers in New England for the treatment of GI cancers.
Our pancreatic cancer program is one of the largest and most experienced in New England, benefiting from the expertise of The Andrew L. Warshaw Institute for Pancreatic Cancer Research.
Pancreatic Cancer: Introduction
What is cancer?
Cancer starts when cells in the body change (mutate) and grow out of control. Your body is made up of tiny building blocks called cells. Normal cells grow when your body needs them. They die when your body doesn't need them any longer.
Cancer is made up of abnormal cells that grow even though your body doesn't need them. In most cancers, the abnormal cells grow to form a lump or mass called a tumor. If cancer cells are in the body long enough, they can grow into (invade) nearby tissues. They can even spread to other parts of the body (metastasize).
What is pancreatic cancer?
Pancreatic cancer is cancer that starts in your pancreas. Normal cells in the pancreas go through a series of changes that make them stop acting like normal cells. Over time, this can lead to excess cell growth and tumors can form.
Understanding the pancreas
The pancreas is a gland. It's an organ that makes substances the body needs. It makes two important things:
Enzymes for food digestion
Hormones to help control the amount of sugar (glucose) in the blood
Your pancreas is in your left upper belly (abdomen) behind your stomach. It’s about 6 inches long. The end, toward the middle of your abdomen, is wide and is called the head. The middle is called the body. The narrow end is called the tail.
The pancreas is made up of two main types of cells:
The exocrine pancreas is made up of cells that make digestive juices. These help your body break down foods. Most pancreatic cancers start in this part of the pancreas. Pancreatic juices contain chemicals called enzymes that help break down food. The pancreas releases these enzymes during meals. The enzymes go into your intestine through small tubes called ducts. The main pancreatic duct is at the head of the pancreas. It joins the common bile duct, which comes from the liver and gallbladder. The enzymes from the pancreas mix with other substances coming from the liver and gallbladder. The merged ducts open into the first part of the small intestine (called the duodenum). In the duodenum, the enzymes help break down fats, sugars, and proteins in the food you eat.
The endocrine pancreas makes many hormones that are released into the blood. They help control how your body works. The pancreatic endocrine cells are arranged in small clumps called islets of Langerhans. Two important hormones made here are insulin and glucagon. These hormones help your body use and store the energy created from the food you eat. A small number of all pancreatic cancers start in endocrine cells.
What are the types of cancer in the pancreas?
There are two main types of cancer that can start in the pancreas:
Adenocarcinomas. These start in the exocrine pancreas cells that make up the pancreatic ducts or, less often, the cells that secrete digestive enzymes. About 95 out of 100 pancreatic cancers are adenocarcinomas. When people use the term pancreatic cancer, they usually mean this type.
Pancreatic neuroendocrine tumors (PNETs). These tumors are also called islet cell tumors. They start in endocrine cells in the pancreas. There are many types of PNETs. They're named based on the type of hormone they make. They can be non-cancer (benign) or cancer (malignant). Fewer than 10 out of 100 pancreatic cancers are PNETs.
Other types of cancer that can start in the pancreas are much less common. They include rare exocrine cancers like acinar cell carcinomas, adenosquamous carcinomas, squamous cell carcinomas, signet ring cell carcinomas, and giant cell tumors.
How pancreatic cancer grows and spreads
Pancreatic cancer often grows within the pancreas for a long time before it causes any symptoms. If the cancer grows outside the pancreas, it often goes into the nearby bile ducts and lymph nodes in your belly (abdomen). Sometimes it spreads to other nearby tissues. Pancreatic cancer may also spread to distant parts of the body. These can include your liver or lungs.
When pancreatic cancer spreads to another part of the body, it’s not a new cancer. For instance, if it spreads to the liver, it’s not called liver cancer. It’s called metastatic pancreatic cancer. The cancer cells in the liver look like, act like, and are treated like pancreatic cancer.
Talk with your healthcare provider
If you have questions about pancreatic cancer, talk with your healthcare provider. Your healthcare provider can help you understand more about this cancer.
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