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Monday, November 9th, 2009

Are You More at Risk for Pancreatic Cancer if A Close Relative is Diagnosed with the Disease?

When one discovers that a relative has succumbed to any kind of cancer the thought occurs to most people that this may increase the risk of someone else in their close family, even themselves developing the disease somewhere down the line.

Pancreatic cancer is not a particularly common form of cancer in comparison to others – approximately 42,470 Americans are diagnosed with the disease each year – but it is one of the hardest to treat successfully. Of those people diagnosed annually approximately 35,240 will die of the pancreatic cancer within three years.

Research has indicated that as is the case with many forms of cancer, genetics and family history of pancreatic cancer do indeed predispose a person to have a greater risk of developing the disease. Research suggests that 5-10% of those diagnosed with pancreatic cancer have a family history of the disease. Pancreatic cancer has been particularly associated with an inherited gene mutation in the BRCA2 gene as well as with other inherited conditions such as Lynch Syndrome, an inherited form of colon cancer.

There are however a number of other things that can increase a person’s likelihood of developing pancreatic cancer that are not related to a family history of the disease. Pancreatic cancer affects men more than it does women and is more common in African American men than in any other race. Diabetes is also a risk factor for pancreatic cancer and in fact some cases of sudden onset diabetes are the first clue that pancreatic cancer, which is notoriously hard to diagnose, is indeed present.

There are an increasing number of researchers and medical professionals who also believe that diet may affect a person’s likelihood of developing pancreatic cancer. Several studies have demonstrated that those who follow a diet that is high in red meat but low on fruits and vegetables may be at higher risk for developing the disease. Smoking is also often cited as another cause, having a risk ratio of 1.74 in regard to pancreatic cancer.

In conclusion, there may well indeed be a higher risk for a person who has had a close family member succumb to pancreatic cancer but it is far from the only cause. Maintaining a healthy diet and quitting smoking will not only lead to better health overall but may be able to cancel out the affects of any genetic predisposition to pancreatic cancer.

10 Responses to “Are You More at Risk for Pancreatic Cancer if A Close Relative is Diagnosed with the Disease?”

JIM Says:

My mother died of pancreatic cancer. Her WORTHLESS doctor kept telling her she had daibetes. DO NOT believe any doctor that says you may have diabetes, get that second opinion. MAKE them scan for cancer as I MADE her doctor do his job, but too late to help her.

JoElla Says:

My husband of 45 years died of Pancreatic Cancer a year an six months ago. He has no family history of PC; his sister had breast cancer (she is 77 and well) and his mother had bone cancer but lived to be 99 years old. His doctor said that he had probably had the cancer for six years when he died. Death was 8 months from diagnosis.

With that in mind the symptoms he experienced and that did not lead to an early diagnosis were: night sweats, additional flatuance that had a new and particular smell, excellerated ageing; loss of stamina and lack of drive to accomplish things later in the disease. He had previously been a hard driven man who exercised religeously. His was mid-pancreas in the mucosa, thus no diabetic or acid overload from proteins not being digested to warn of the Pancreas being involved. The final symptom prior to diagnosis was severe pain when he laid down to sleep that originated in the area just below his sternum and went through to his back. After his doctor did the normal and unnecessary tests for digestive ailments, anuresum and gall bladder he found the Pancreas cancer on a very expensive PET scan. When asked why he did not do this test earlier he sited insurance protocol. We never once asked him to spare us expense in finding out what caused the pain. We could have and would have paid in cash; we finally insisted on the PET and agreed to pay if the insurnace would not. I mention this to encourage you to always make it clear to the diagnostician that you are demanding that he RULE OUT what ever disease you are trying to get treatment for as soon as you suspect that you know what it is, especially if it might be cancer. Early diagnosis is the only card you have to play.

John J. Burkard Says:

I am 80 yrs of age and suffered a severe case of pancreatitis when 40 yrs old. At that time Drs could only see alcohol as the cause and a person was told never touch alcohol again for as long as you live.
I was treated in the VA hospital, an elderly Dr. would take the young interns around the bedsides, and he was always pointing out to the young interns by asking me questions, he would ask me how many children I had? the answer was seven.
He also wanted to know if I was constantly worrying, with seven kids, of course I was. But in short he connected the illness to stress and anxiety more than anything else.
My pancreas burst, the pain was un bearably intense, after much hemming and hawing, this elderly Dr. decided to use a method never before used in the United States called “peritorial lavage” simply put, it was a continuous flushing out of the stomach cavity,
After 36 hours of this treatment my pain went away, I was taken our of intensive care after spending 5 weeks there, and finally sent home with instructions never to touch alcohol again or I could die.
I had pancreatitus about six more times, whith each bout being of lesser intensity, until I never experienced the problem again.
I know this story is rather lengthy, but I’m coming to the punchline. One of my Sons, married with two children, and many problems home. But had a good jub served 6 yrs. in the Coast Guard, but was under much stress for a young guy, 38 yrs old.
H was treated by opening him up, leaving the wouned exposed for accessibility, and certain drugs. It never wnet away, they put him in an induced coma. When I visited him one evening, I asked the Drs why they did not use peritorial lavage on my Son? he was surprised I heard of it, and I explained it was done to me, with excellent results. His answer was they don’t use the procedure any more. After being in and out of the hospital many times, wearing aurine bag around to his embarassment, funally he was admitted once more for the last time, sadly for all concerned, he never came out alive.
I only want to share this with you to alert people who have unyielding faith in doctors, believe me they are still learning and unfortunatley some can never catch on.. Pancreatitus by the way is impossible to diagnose unless you are in pain at the time they administer the test, which is called an “amilaze test”, I believe amilaze is an enzyme which only shows up in your blood stream when the pain is severe, but I could be a little off on this so don’t hold me to it if I should incorrect….

Jane Says:

Why is it today, most Dr.’s seem so apathetic? It just seems if you are over a certain age, or your condition is a challenge or for some “mysterious” reason, most Dr.’s don’t want to be bothered, let alone go the extra mile to really help?

Mark Says:

Hi Jim, I can relate with your sad story as well. My mother in law kept complaining of abdominal pain and indigestion, and her doctor kept insisting it was Reflux and kept giving her Pepsid and other such meds. When we fnally had an Ultrasound done, two years later, they discovered a mass on her pancrease it was already metastasizing to other areas. Johns Hopkins helped finish her off but that’s a story for another day…

carolyn Says:

My mother ate right, exercised, didn’t smoke, did not have diabetes, saw her doctor regularly, and was a white female. No one in our family has had pancreatic cancer, but she died from it three months and one day after they found an elivated alkilyne level when doing routine blood work.

TOM Says:

I HAD 2 CYST ON MY PANCREATIC DUCT THAT WERE ON THE WAY TO BEING CANCEROUS. NO SYMTOMS. THEY WERE PICKED UP ON A C-SCAN ORDERED BY CARDIOLGIST. THEY WERE WATCHED FOR 2 YEARS (MRI’S C-SCAN’S).THEY CHANGED SOMEWHAT, HAD “WHIPPLE” OPERATION THIS PAST MAY. I FEEL GREAT! I THANK GOD EVERY DAY ! I’M 75

Bob T Says:

I’m sorry for your pain and your loss. My wife of 26yrs. died from the disease in 2004, after suffering, and nearly disintegrating for 13 months after diagnosis. Pancreatic Cancer, because of it’s hidden location amongst so many other organs, etc., that the initial pains always seem to be from these other areas, even a backache that Janet had for months. So, not knowing to be agressive (she hadn’t been to a dr. for 17 yrs.), they did useless xrays, ct scans, and even mri’s looking at her back. Needless to say, by the time they realized what they were dealing with, it was wrapped around everything in that area. We were at one of the finest hospitals (Mass General in Boston), and they, at first didn’t know what to do. That particular Cancer is probably the only Cancer that they cannot give success rates. I survived lung cancer in 96, and even that had a percentage of people who survived and beat it. Pancreatic Cancer’s first discussion with the Drs. at Mass General, was simply…we can’t save you, but with intense treatment, maybe you’ll make it 2 yrs. The worst part of it was the fact that they were so casual telling this lady she was going to die. I’m sure we were just one of many for them that day, but they have gotten so cold about it, I was furious. But, at this point, Pancreatic Cancer should get the most financing for learning about it, because they’ll be very honest and tell you they don’t have a clue as how to cure it. A Nationwide, Non-profit group of volunteers should be activated to raise as much money for this as we can. I would be happy to be an organizer and volunteer, and could get a lot of help on this. We just need to know how to be sure that the funds end up at the correct destination. I’m sorry to have taken so much of your time, but when I read your post, having been there,I could feel your pain and anger. And when I started writing, I guess some of my own came back, as you could probably tell. God Bless and carry on. As parents, it’s all we ever wanted for our kids, so take the fond memories and bring them to the front of your thoughts, and we’ll be fine. It is what they would want.
I’m Bob Terrill, and I thank you for listening
robbo4441@yahoo.com

Ruth Says:

I am sorry for your loss Bob and what you and your precious wife went thru. This is a tough disease. I just had a Whipple operation for it, being one of the lucky ones who was even eligible for it. My daughter found an excellent website and organization where they do a lot of work for this disease. I am sure they could use your help in your part of the country. The website is http://www.pancan.org. and the phone # is 877-272-6226. Check them out. Also, November is National Pancreatic month. Hope this helps. Ruth

Paul Says:

I was diagnosed in November of 2005-jaundice was the clue. Tumor removed in December of 2005. Chemo in 2006, Radiation and chemo in 2007, Another chemo in 2008 (useless) I am now on my 6th chemo (abraxane)which so far is promising. In the past 4 years I have never really felt sick. We travel overseas without problems. G-d and my oncologist have been good to me.Always be proactive in your treatment and never give up.

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