Tumors of the exocrine pancreas:
Generally poor prognosis.
- 10% of digestive cancers.
- Average age of onset.
- 70 years for women.
- 65 for men.
- Promoting role of smoking and chronic pancreatic.
- 2 / 3: head of the pancreas.
- 1 / 3: tail of the pancreas.
- Rapid expansion in loco regional lymph nodes.
- Late discovery as long clinically silent
- Cancer of the head: cholestatic jaundice.
- Cancer of the body and tail:
- Epigastric pain type transfixing
- Impaired general condition.
- Sometimes palpable epigastric mass
- The ultrasound examination remains the first line, revealing a poorly defined hypo echoic mass, and to highlight liver metastases. As cites may also be disclosed and demonstrate a peritoneal carcinomas.
- The echo-endoscopy is useful in diagnosing small tumors.