Pancreatic amylase 53, normal, may have pancreatic cancer?
Suggestion: Generally, the initial symptoms are less than 1 15. Abdominal pain is an early symptom of pancreatic cancer, which is more common in pancreatic body and pancreatic tail cancer, located in the upper abdomen, navel or right upper abdomen. It is characterized by colic, paroxysmal or persistent dull pain, progressive aggravation, mostly radiating to the back, and aggravating in lying position and at night, sitting, standing, leaning forward or walking. 2. Jaundice can occur at a certain stage in the course of the disease. Generally, jaundice is more common in pancreatic head cancer, which appears earlier. When cancer is confined to the body and tail, there is no jaundice. Jaundice is mostly obstructive, progressive deepening, accompanied by itchy skin, urine color like strong tea, stool color like mud. Most of them are caused by the compression of common bile duct by pancreatic head cancer, and a few are caused by the metastasis of pancreatic body and tail cancer to liver or liver/common bile duct lymph nodes. 3. About 90% patients lose weight rapidly and significantly, and pancreatic cancer is often accompanied by cachexia in the late stage. Causes of emaciation include cancer consumption, loss of appetite, anxiety, insomnia, and digestive and absorption disorders. 4, fatigue, loss of appetite is very common, and may be accompanied by diarrhea, constipation, abdominal distension, nausea and other gastrointestinal symptoms. Some cases may have fatty diarrhea, hyperglycemia and diabetes. If you don't like fatty dishes, there will be fatty diarrhea, which is a diarrhea symptom in which fat is not digested and mixed with feces. 5, due to cancer ulceration or infection, but also due to secondary bile duct infection and fever. 6. Thrombophlebitis of limb veins can be seen in some cancers of pancreatic body and tail, leading to local limb edema. 7. There are generally no obvious signs at the beginning of physical examination. Typical cases are emaciation, jaundice and upper abdominal tenderness. Nodular and hard masses can be touched in the upper abdomen in the late stage. If jaundice is accompanied by gallbladder enlargement, it is an important basis for pancreatic head cancer. Hepatomegaly can often be found due to cholestasis. For example, splenomegaly can be palpated when tumor compresses splenic vein or splenic vein thrombosis occurs. 8. Patients with advanced pancreatic cancer may have ascites, and the left clavicle or the front of rectum may have a hard swollen metastatic lymph node depression.