Cancer Keys: RUQ Pain in Pancreatic Cancer

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Pancreatic cancer diagnoses can be missed due to the non-site specific nature of some early symptoms. However, according to CRUK, up to 70% of patients with pancreatic cancer initially visit the doctor with upper abdominal or back pain.

Potential Pitfall

Pain often presents in the right upper quadrant (RUQ pain). It can begin as general discomfort, such as pressure under the ribs or pain in the abdomen radiating to the back, similar to a pulled muscle or stomach cramps. Patients may note that sitting forward can sometimes relieve the pain but can worsen when lying down or after eating, especially with fatty foods.

Helpful hint

In line with NICE guidelines, the presentation of back or abdominal pain in people aged 60 and over combined with weight loss should be considered for an urgent direct access CT scan to assess for pancreatic cancer (to be performed within 2 weeks), or an urgent ultrasound scan if CT is not available.

 

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Latest from the Blog

Tips on managing the impact of altered bowel function

Tips on managing the impact of altered bowel function

Thursday 23rd July 2020 Treatment for pelvic cancers can cause numerous gastrointestinal symptoms. Many patients will experience altered bowel function or other late effects, and often find them extremely concerning, as the symptoms experienced can mirror some of...

read more
Assessing and monitoring a patient with a neck lump

Assessing and monitoring a patient with a neck lump

Friday 17th July 2020 It is essential to monitor a neck lump closely, measuring and remarking if it is hard, mobile or fixed. It is also important to record the number of nodes found, if they are changing over a period of time, and refer the patient urgently if there...

read more

Related Posts

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.