Google+Linking To And Embedding Dr. Stockton's Outstanding "Pancreatic Cancer Sends Clues For Years, Why Do We Always Miss Them?(Surgeon Explains)" - Tom Wade MD
A splinter stops you in your tracks. A tumor can grow in your pancreas for years and you feel nothing. A surgeon who has removed these tumors explains why, the clues the pancreas does send, why a “normal” ultrasound and blood test don’t clear you, and the one sentence to say at your appointment. Get The Surgeon’s Brief, free, once a month: https://docstockton.com/signup THE SHORT ANSWER • It isn’t fast: about 12 years from the first mutated cell to a cancer, 6–7 more to spread. Removed at Stage 1A, 5-year survival is over 80%; after it spreads, about 3%. • The clues: mid-back ache worse lying flat · dark urine and itchy palms before any yellowing · pale, greasy, floating stool · full after four bites · sudden disgust for coffee, wine or cigarettes · weight loss you didn’t work for · new diabetes after 50 (a GLP-1 can hide the weight loss) · an unexplained leg clot · an out-of-character mood shift. • A surface ultrasound missed the tumor 1 in 3 times and a normal CA 19-9 never clears the pancreas. Ask for a pancreas-protocol CT, MRI, or endoscopic ultrasound. CHAPTERS 0:00 A Splinter Hurts. A Tumor Doesn’t. 0:39 Four Clues: A Spine, A Tube, A Drug, 1865 1:03 Is It Just Fast? No — 12 Years 1:35 3% vs 80%: Same Cancer, Different Day 2:23 Who I Am 2:38 Where Your Pancreas Lives 3:09 Organ Nerves Don’t Tell You Where 4:00 Back Pain: 3 Ways To Tell It Apart 5:51 Dark Urine, Itchy Palms, Yellow Eyes 6:27 Pale, Greasy, Floating Stool 7:06 Full After Four Bites · Disgust For Coffee 7:44 Weight Loss You Didn’t Work For 8:02 The Chemical Clue: Sudden Diabetes 8:53 The Ozempic Trap 9:26 Don’t Panic — Here’s The Real Risk 9:59 1865: The Doctor Who Found It On His Own Leg 10:39 A Mood Shift Before The Belly 11:48 It Was Built That Way On Purpose 12:31 A “Normal” Ultrasound Missed 1 In 3 13:12 A Normal CA 19-9 Doesn’t Clear You 13:59 The 3 Tests That Actually See It 14:18 Found A Cyst By Accident? 14:45 The One Sentence To Say 15:11 What Was Your First Clue?
STUDIES AND SOURCES
12 years to cancer: Yachida S, Nature 2010 Stage 1A 83.7%: Blackford AL, J Natl Cancer Inst 2020 · Distant 3%: ACS/SEER 2015–2021 Tail tumors spread 84% vs head 42%: van Erning FN, Acta Oncol 2018 “Comes and goes”: Evans J, BMJ Open 2014 Dark urine: Liao W, Br J Gen Pract 2021 · Stool: Lindkvist B, World J Gastroenterol 2013 Coffee/wine/cigarettes, 11 of 305 vs 0: Gullo L, Pancreas 2001 Weight loss over 5%: Gaddey HL, Am Fam Physician 2014 Diabetes 1 in 5 before, half at diagnosis: Chari ST, Gastroenterology 2008 · Beta cells: Aggarwal G, Gastroenterology 2012 GLP-1s, over 2 million patients: Dankner R, JAMA Netw Open 2024 · Wang L, JAMA Netw Open 2024 New diabetes alone under 1 in 100: Chari ST, Gastroenterology 2005 · + weight loss ~7×: Yuan C, JAMA Oncol 2020 Clots 1 in 5: Frere C, World J Gastroenterol 2021 · Trousseau: StatPearls NBK547702 Depression/anxiety 1 in 5 vs 1 in 15: Davis NE, Psycho-Oncology 2022 Ultrasound missed 1 in 3: Kang J, Curr Probl Diagn Radiol 2022 CA 19-9: Luo G, Int J Oncol 2020 · EUS finds 9 in 10: Kitano M, Diagnostics 2019 Cysts: Oyama H, Gastroenterology 2020 · Pergolini I, Gastroenterology 2017 · ACS Bulletin Oct 2020 DISCLAIMER General education, not individual medical advice. Two or more clues for more than two weeks deserves an in-person visit. #pancreaticcancer#cancersurgeon
