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Pancreatic cancer most commonly refers to pancreatic ductal adenocarcinoma (PDAC), a highly aggressive malignancy that arises from the exocrine pancreas. It accounts for >90% of all pancreatic malignancies.
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Understanding Pancreatic Cancer
https://www.youtube.com/watch?v=7nCwUEaVkj0
https://www.youtube.com/watch?v=iPb2QXoxamM
Epidemiology
- 10th most common cancer worldwide but 4th leading cause of cancer death.
- Peak: 60–80 years.
- Slight male predominance.
Risk factors:
- Cigarette smoking (strongest modifiable)
- Chronic pancreatitis
- Diabetes mellitus
- Family history, hereditary pancreatitis
- Genetic syndromes: BRCA2, Peutz-Jeghers, Lynch syndrome
- High-fat diet, obesity
Pathology
- Most common site: Head (60–70%), body (20%), tail (5–10%).
- Histology: Ductal adenocarcinoma (others: acinar cell carcinoma, neuroendocrine tumors, mucinous cystic neoplasms).