Pancreatic Cancer: Treatment Choices
Various types of treatment can be used for pancreatic cancer. Which may work best for you? It depends on a number of factors. These include the size, location, and stage of your cancer. Factors also include your age, overall health, and what side effects you’ll find acceptable.
Learning about your treatment options
You may have questions and concerns about your treatment options. You may also want to know how you’ll feel and function after treatment, and if you’ll have to change your normal activities.
Your healthcare provider is the best person to answer your questions. He or she can tell you what your treatment choices are, how successful they’re expected to be, and what the risks and side effects are. Your healthcare provider may suggest a specific treatment. Or he or she may offer more than one, and ask you to decide which one you’d like to use. It can be hard to make this decision. It is important to take the time you need to make the best decision.
Deciding on the best plan may take some time. Talk with your healthcare provider about how much time you can take to explore your options. You may want to get another opinion before deciding on your treatment plan. In fact, some insurance companies may require a second opinion. In addition, you may want to involve your family and friends in this process.
Understanding the goals of treatment for pancreatic cancer
For some pancreatic cancers, the goal of treatment is to cure the cancer. If cure isn’t possible, treatment may be used to shrink the cancer or keep it under control for as long as possible. Treatment can also improve your quality of life by helping to control the symptoms of the disease. The goals of treatment can include one or more of these things:
Remove or destroy the cancer in your pancreas
Remove or destroy tumors in other parts of your body
Stop or slow the growth or spread of pancreatic cancer cells
Prevent or delay the cancer from coming back
Ease symptoms from the cancer. These can include pain or pressure on your organs.
Types of treatment for pancreatic cancer
Several types of treatment can be used for pancreatic cancer. Different combinations of treatment may be used. These depend on a number of factors, such as:
The size and location of the cancer
The stage (extent) of the cancer
Your age and overall health
Your personal concerns and preferences
Each treatment has its own goals.
This is often the preferred treatment for early stage pancreatic cancer if it can be done. This is because it may cure the cancer if it’s caught early enough. Unfortunately, pancreatic cancer has usually spread too far to be removed completely. If the cancer can’t be removed, your healthcare provider might still suggest a less extensive surgery to ease symptoms.
This treatment is often used with chemotherapy, either before or after surgery. Radiation and chemotherapy (chemo) before surgery can help shrink a tumor and make it easier to take out. After surgery, radiation and chemo can be used to try to kill any cancer cells that are left. Radiation may also be used as part of the main treatment in people who can't have surgery. Or it may be used to help relieve symptoms in people with advanced cancer.
Chemo and targeted therapy
For pancreatic cancer, chemo may be used before or after surgery (often with radiation). Or it may be the main treatment for people who can't have surgery. Targeted therapy medicines work differently from standard chemo medicines. They may be used along with chemo in some situations.
Your healthcare provider may suggest treatments that help ease your symptoms, but don’t treat the cancer. These can sometimes be used along with other treatments. Or your healthcare provider may suggest supportive care if he or she believes that available treatments are more likely to do you more harm than good.
Clinical trials for new treatments
Researchers are always looking for new ways to treat pancreatic cancer. These new methods are tested in clinical trials. Talk with your healthcare provider to find out if there are any clinical trials you should consider.
Talking with your healthcare provider
At first, thinking about treatment options may seem overwhelming. Talk with your healthcare team and loved ones. Make a list of questions. Consider the benefits and possible side effects of each option. Discuss your concerns with your healthcare provider before making a decision.
March 21, 2017
Alteri, Rick, MD,Gersten, Todd, MD