Pancreatic Cancer – Understanding the ‘Silent Killer’

The pancreas, a small but vital organ located deep in the abdomen, plays a crucial role in digestion and blood sugar regulation. Unfortunately, when cancer develops here, it often goes unnoticed until it has advanced significantly. That’s why pancreatic cancer is sometimes referred to as the “silent killer”. Dr. Deepak Chhabra explains why awareness, risk factor management, and early detection are key to improving outcomes.

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Why Pancreatic Cancer is Hard to Detect

Unlike other cancers, pancreatic cancer rarely shows symptoms in its early stages. Signs such as jaundice, weight loss, back pain, or greasy stools usually appear only when the disease has already progressed. Since the tumor blocks digestive enzymes and hormones, symptoms are often confused with common gastrointestinal issues.

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Risk Factors to Watch

• Age and Gender – Most cases are seen in individuals over 60, with men slightly more affected.

• Lifestyle – Smoking nearly doubles the risk; heavy alcohol use and obesity are contributors.

• Medical Conditions – Diabetes, chronic pancreatitis, or genetic mutations like BRCA1/2 increase risk.

• Family History – Those with relatives affected by pancreatic cancer require extra vigilance.

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Diagnosis and Treatment Approaches

Diagnosis involves advanced imaging such as CT, MRI, or endoscopic ultrasound (EUS). If cancer is confirmed, doctors determine its spread using PET-CT scans to guide treatment.

Treatment may include:

• Surgical procedures (such as the Whipple operation) to remove the tumor and reconnect the digestive tract.

• Minimally invasive/robotic surgery for faster recovery.

• Chemotherapy to shrink tumors or reduce recurrence risk.

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Why Awareness Matters

Because pancreatic cancer advances silently, early detection—even in high-risk groups—can be lifesaving. Genetic testing, lifestyle changes, and regular screenings are essential preventive measures.

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Conclusion

Pancreatic cancer remains one of the most challenging cancers, but with early awareness, lifestyle care, and medical advancements, we can improve survival outcomes. As Dr. Chhabra highlights, the best defense is vigilance—recognizing risk factors, acting early, and not ignoring persistent digestive issues.