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Pancreatic Cancer and Hormonal Imbalance - Symptoms, Diagnosis, and Treatment

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Pancreatic cancer is a deadly disease that frequently appears with nonspecific symptoms and is difficult to detect at an early stage. Read the below article.

Written by

Dr. Swathi. R

Medically reviewed by

Dr. Rajesh Gulati

Published At May 24, 2023
Reviewed AtJanuary 3, 2024

Introduction

Pancreatic cancer is one of the four most common cancers that cause death in the United States. Pancreatic cancer occurs with few symptoms and is mostly diagnosed at the last stage, which has a high case fatality rate. Pancreatic cancer is usually not found until the advanced stages since it is hard to detect the signs, which include weight loss and jaundice. The risk factors may include exposure to certain chemicals and diabetes. The specific treatment may depend on the location and size of the tumor and whether or not it has spread to other areas of the body. Hormones are a natural and vital part of the body. The connection between hormone imbalance and cancer is found to be more risky. Hormones such as:

  • Insulin.

  • Thyroxine.

  • Adrenalin.

  • Melatonin.

These are the hormones produced and managed by the organs, including the following:

  • Testes.

  • Pancreas.

  • Ovaries.

  • Pineal.

  • Pituitary.

  • Thymus.

  • Adrenal gland.

  • Thyroid glands.

What Are Hormonal Imbalances and Cancer?

Various factors influence the fluctuations and balances of the hormones. It can be due to natural changes in the production of hormones, such as pregnancy, or age and monthly changes. Hormone imbalances may be caused by medication or health conditions. Testosterone may be produced from testosterone, and cholesterol may produce prostate cancer in men. Estrogen is known to drive endometrial cancer and other forms of cancer, such as breast cancer and gynecological-related cancers. Excess estrogen results from prescribed drugs or even from drugs one's mother was prescribed during pregnancy. It shows cancer has a connection with one's hormones.

Obesity has been a major risk factor for many cancers. The excess amount of fat tissue may create estrogen and may also convert the androgen into estrogen. The impact of estrogen over the lifespan was one of the risk factors for these cancers. On the other side, women's estrogen levels are lower during pregnancy, so the pregnancies have a bit of a protective effect against estrogen-causing cancers. Intrauterine devices and birth control pills are often protective against cancers caused by hormones.

What Are the Symptoms of Hormonal Imbalance?

The role and impact of hormones on the body show a list of symptoms. The following parameters are monitored-

  • Low sex drive.

  • Infertility.

  • Irregular menstruation.

  • Changes to breasts.

  • Excessive body hair.

  • Night sweats.

  • Unexpected fatigue.

Women have a persistently lower incidence of pancreatic cancer compared to men. Laboratory studies have detected estrogen receptors and binding proteins in pancreatic tissue. In addition, some animal studies have found that estrogen may inhibit the progression of a few pancreatic carcinomas.

What Is the Pancreas?

The pancreas is a small hockey stick-shaped gland located behind the stomach. The major function of the pancreas is to aid in food digestion and regulate the blood sugar levels in the body. The pancreas play a vital role in controlling and balancing blood sugar levels because it makes insulin and glucagon (hormones that help control blood sugar levels).

What Is Pancreatic Cancer?

Pancreatic cancer occurs when changes in the pancreatic cells (mutations) can lead to the multiplication of cells out of control. As a result, sometimes a mass is produced. Usually, the mass is non-cancerous, but in the case of pancreatic cancer, the mass is malignant. It occurs more often in men than in women.

What Are the Types of Pancreatic Cancer?

There are two types of cancers produced in the pancreas; exocrine and endocrine. Most pancreatic tumors are exocrine tumors, and the most common kind of pancreatic cancer is adenocarcinoma. The most common type may begin in the ducts of the pancreas, called ductal adenocarcinomas.

What Are the Symptoms of Pancreatic Cancer?

Most people may not experience early signs of cancer. However, as the death progresses, people may notice the symptoms listed below:

  • Loss of appetite.

  • Dark-colored poop.

  • Blood clots in the body.

  • Tiredness.

  • Yellow of the skin and the whites of the eyes.

  • Itchy skin.

  • Upper abdominal pain may spread to the back.

Pancreatic endocrine cancer may have different symptoms than traditional pancreatic cancer symptoms, such as weight loss and jaundice.

What Causes Pancreatic Cancer?

The exact cause of pancreatic cancer is unknown. However, researchers have identified some risk factors, such as:

  • Obesity.

  • Smoking.

  • Diabetes.

  • Chronic pancreatitis is permanent inflammation associated with drinking alcohol and smoking.

How Is Pancreatic Cancer Diagnosed?

  • It is very difficult to detect pancreatic cancer early because the healthcare providers may not feel the pancreas during the routine examination. If the healthcare provider suspects one has pancreatic cancer, they ask to take pictures of the internal organs.

  • Endoscopic ultrasound can be done. It is a thin tube within the camera tip passed through the mouth and into the stomach area. The ultrasound probe at the end of the tube allows the imaging of the pancreas through the cell wall.

  • If needed, an ultrasound-guided biopsy from the pancreas can also be obtained during the time of the procedure.

  • The blood test can find a substance called a tumor marker for pancreatic cancer that shows high levels of carbohydrate antigen, a type of protein released by the pancreatic cancer cells that might indicate a tumor.

How Is Pancreatic Cancer Treated?

Pancreatic cancer is treated using the following methods. Such as,

  • Surgical removal.

  • Radiation therapy.

  • Immunotherapy.

  • Chemotherapy.

  • Targeted therapy.

How Can One Prevent Pancreatic Cancer?

Since there is no actual cause of pancreatic cancer, it is difficult to know how to prevent it. One can change their day-to-day behaviors and lifestyle by following a healthy diet and exercising to reach and maintain a normal weight. Quitting smoking and drinking and trying to avoid getting diabetes can help manage one's blood sugar levels.

Conclusion

Hormonal imbalance is a risk factor for cancer. Some causes of the production of hormones were not under control, similar to the early menstrual cycle. By taking care of one's body with some exercise and maintaining a healthy weight one can maintain the hormones to some extent. Hormone imbalance is not uncommon and can be treated. Some studies show evidence of the protective role of estrogen against the development of pancreatic cancer in women. There is a decreased risk among the estrogen-based hormone replacement therapy, and a significantly increased risk is found among the women with higher age of menarche.

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Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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