Patient Education Cancer of the Pancreas: A Care Guide | Page 6

Pancreatic Cancer • Can be referred to as side branch or main pancreatic duct cystic tumor. • Has the highest risk of becoming cancer when in the main pancreatic duct. Pancreatic cancer begins in cells that make up the tissues of the pancreas. In normal body tissues, cells grow and divide, forming new cells to replace old or damaged cells. This is the body’s natural cycle — to get rid of old cells as new ones are made. Sometimes genetic or environmental issues can cause cells not to die — leaving them to grow uncontrollably. These extra cells may form masses of tissues called tumors. You may hear medical staff refer to a tumor as a mass, lesion, neoplasm, nodule, or spot. These all have the same meaning. Tumors in the pancreas can be benign (not cancer), premalignant, or malignant (cancer). Benign tumors are not as harmful as malignant tumors. Malignant tumors: • Sometimes can be removed but can grow back. • Can invade and cause damage to nearby tissues and organs. • Can spread to other parts of the body — called metastasis. • May be a threat to life. Cancer can: • Invade — a cancerous tumor in the pancreas can invade organs nearby such as the stomach or small intestine. • Shed — cancer cells can break off from the tumor in the pancreas and shed into the abdomen. This can lead to other tumors on the surfaces of organs in the abdomen. • Spread — pancreatic cancer cells can spread by breaking away from the tumor and traveling through the blood vessels to the liver, lungs, or other organs. The cells can also spread through lymph vessels to nearby lymph nodes. After spreading, the cells may form new tumors and damage other tissues. Benign tumors, such as cysts: • Are usually not life threatening. • Can be removed and usually don’t grow back. • Don’t invade the tissues around them. • Don’t spread to other parts of the body. IPMNs (intraductal papillary mucinous neoplasms): • Produce thick fluid by the tumor cell (mucin). • Sometimes can progress to cancerous tumors if left untreated. 5