00:07Mga ka-RSP, isa sa mga seryosong kondisyon na maaring maka-apekto sa pancreas ay ang pancreatic tumor.
00:15Bagabat hindi ito agad napapansin sa simula, mahalagang malaman ng publiko yung mga posibleng sintomas, risk factors at mga paraan
00:23ng pagagamot.
00:24At upang magbahagi ng mahalagang informasyon tungkol dito, Audrey, makapanayam natin ang gastroenterologist, Dr. Oliver Neal Cruz.
00:32Good morning, Doc, and welcome po sa Rise and Shine, Pilipinas. This is Profi, together with Audrey.
00:37Rise and Shine.
00:39Hi, good morning po. Nice.
00:43Well, Doc, para sa mga kaalaman ng ating mga ka-RSP, ano po ba yung pancreatic tumor?
00:49Paano ito naiba sa ibang uri ng tumor o cancer sa katawan?
00:55So, ang pancreatic tumor po ay growth ng abnormal cells sa ating lapay or pancreas.
01:04Ito ay mga cells na nagbubuo ng mukhang mass.
01:10It can be benign or malignan.
01:13So, naiiba ito sa ibang cancer sa katawan dahil predominantly mula sa pancreas natin siya nagbumula.
01:24So, it's predominantly pancreatic cells that make up your pancreatic tumors.
01:33And, yun po. So, doon po galing sa ating pancreas.
01:37Okay, kasi sa akin, pag narilikay yung term na pancreas, it's more of sa sugar, insulin, glucose.
01:45Sino yung mga terminologies na rin ko? I don't know if this is related with pancreatic tumor.
01:50Pero, Doc, ano bang cause? Anong sanhe? Ba't nagkakaroon ng ganito?
01:53Is it because of lifestyle as well? Tell us more, Doc.
01:59Well, yung pancreatic tumors agree, na?
02:01So, tama, it's related to your insulin-producing parts of the pancreas.
02:12Risk factors would include, of course, lifestyle in terms of heavy smokers,
02:18heavy alcohol beverage drinkers.
02:20We see pancreatic tumors in those with heavy weight, so obesity.
02:27And those with a lot of medical conditions, like, for example,
02:30if you have chronic diabetes mellitus, your higher chances of getting pancreatic cancer.
02:36Or those with chronic pancreatitis, no?
02:39Those who have repeated insults to the pancreas pag namamagasya for longer periods of time.
02:46And age. So, we see this more often in patients who are older than 60.
02:51And those who have family history.
02:53So, may people who are more predisposed to getting the tumors in the pancreas.
02:58If you have, let's say, a relative, especially a first-degree relative,
03:03with history of pancreatic cancers.
03:06Well, daw, kadalasan po kasing sinasabing silent yung sakit na ito.
03:10Ano po ba yung mga early warning signs o yung sintomas na dapat bantayan natin?
03:18Yes, no. So, it's silent, it's insidious because your pancreatic tumors are very notorious in presenting itself once it's big
03:27already.
03:29Yung pancreas symptoms, no?
03:32When it's very early, you really have no symptoms.
03:36Or it's very rare to detect a pancreatic tumor on its own.
03:41Usually, people see it incidentally for being worked up for other conditions first.
03:47But some of the symptoms that you can have are pain, especially if the pain is towards the back, no?
03:55Then, weight loss na unexplained, paninilaw ng balat.
04:01You can also have even new-onset diabetes yung biglaan nagkakaroon ng sugar problems.
04:09What else? Pain.
04:11Sometimes it present as vomiting also na intermittent, no?
04:16So, hindi nawawala yung vomiting paulit-ulit po.
04:20And what else? Mostly digestive issues as well po, no?
04:24So, yeah.
04:28Okay.
04:29Kapag po may hinala na may pancreatic tumor or naranasan yung mga symptoms, hindi po nabanggit, doc,
04:37what could be the test or process na ginagawa para makumpirma ang diagnosis?
04:43So, usually the easiest way to check on the pancreas is using an ultrasound of the abdomen.
04:50And, again, incidentally, we'd see that if there's anything in the pancreas.
04:56Further workup would be using a CT scan or what we call a CT scan with a pancreatic protocol
05:02or a magnetic resonance cholangiopancreatography or MRCP.
05:08Now, definitive diagnosis, once we see these types of masses, we need to get a biopsy of it.
05:15So, we can do endoscopic ultrasound.
05:17So, that's using endoscopy.
05:19We'll do an ultrasound, look for the target, and get the sample using needles po.
05:24So, yeah.
05:27And then, based on the biopsy results, we could see kung ano pong klase or anong pangalan ng tumor ng
05:34pancreas po.
05:35Okay.
05:36Doc, kung sakaling madiagnose na nga ang isang tao na may pancreatic tumor,
05:41ano-ano pong yung posibleng treatment options na available ngayon dito sa Pilipinas?
05:48So, when we diagnose the pancreatic tumor, depending on if it's benign or malignant,
05:57of course, the best way to remove the tumor is through surgery, especially if we catch it early.
06:04Other modes of treatment, of course, chemotherapy and radiotherapy if we need.
06:10Some can do microwave ablation if there is to palliate the pain.
06:16Symptom control, definitely, because it's a very painful type of tumor.
06:21But yeah, so, surgery first if we can remove the tumor.
06:25But if we can't, then some chemotherapy, radiotherapy, or even immunotherapy.
06:31Some medicines to take to control the size of the tumor and even the symptoms po.
06:37Okay, Doc, those who are diabetic lang ba ang pwede magkaroon ng pancreatic tumor or anyone can have it?
06:43Or those people who suddenly have sugar spikes lang?
06:49Those who have diabetes are higher risk of getting pancreatic tumors, but anyone can have pancreatic tumors po.
06:58Sometimes it's just your genetics, like luck of the draw.
07:02But yeah, those who are diabetic for longer periods of time, we know to be increased risk to get the
07:10pancreatic tumors po.
07:12Okay, Doc, ano ba yung mga practical na hakbang para maiwasan po natin ito sa usapin ng prevention?
07:20So, we know that it's linked to a higher risk for lifestyle, especially smoking and heavy alcohol drinking.
07:29Definitely, iwasan po sana natin ito.
07:32And weight management po.
07:35So, those who are obese have a higher chance for it.
07:39For people who have genetic predisposition or dun sa may lahi na may mga kamag-anak na nagkaroon na ng
07:46pancreatic cancer,
07:48you can also look into genetic counseling po to have yourself worked up for your risk in developing pancreatic cancers.
07:55And you can see your friendly gastroenterologist in order to maybe check if they recommend screening, no?
08:03Checking on your pancreas, especially when you have some subtle symptoms that would lead to being pancreatic tumor.
08:12Doc, I don't know personally if this is a misconception or what.
08:16Pero kasi naalala ko nung na-aral namin sa science subject, the pancreas, they say it's a silent killer.
08:22So, are we really going to experience these symptoms or we're just going to experience these symptoms kapag malala na
08:30po?
08:31Or maybe kung hindi talaga naalagaan at madala sa mga tao, they just self-diagnose, it would just lead to
08:39death, Doc.
08:39Because they say nga that pancreas, once may problema rito, is a silent killer.
08:44Is it just a misconception, Doc? Tell us more.
08:48It's a silent killer because a lot of the time when the symptoms show itself, it's already an advanced stage
08:56disease.
08:57There's no real small sign that could, that's like a hallmark that it's a pancreas, no?
09:05So, good, for example, intuition of the doctor to check would help you work it up earlier.
09:14But it is very insidious.
09:17I've had patients who are okay one day and then a few months later, then they would say na,
09:24Doc, bakit biglaan po ito, malapokong naramdaman, but yeah, the pancreas is very notorious to be, to just, you know,
09:37show it out of, like a surprise na lang bigla, no?
09:41And I think it's also because of where the pancreas is located, it's, it's retroperitoneal, meaning it's deep inside the
09:48abdominal cavity, which has a lot of room or space to, what do you call this, expand.
09:55So, when the tumor grows, there's space, so you don't really feel so much right away until the tumor is
10:04big already and it causes more obvious signs that there's something happening.
10:10Well, maraming salamat po sa lahat ng impormasyon na ibinahagi niyo sa aming umaga, Dr. Oliver Neil Cruz. Maraming salamat.
10:17Thank you, Doc.
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