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AV Flox is a Peruvian transplant living in Los Angeles. She is the editrix-in-command of Sex and the 405, a site that shows you what your newspaper w...
 
 
 
 

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How Much Do We Really Know About Pancreatic Cancer?

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Shortly after hearing about the passing of Steve Jobs, the 56-year-old co-founder of Apple, I tweeted, "Make a difference, donate what you'd pay for the iPhone 4S to cancer research instead."

Immediately after posting it, I realized that while I, like many technology enthusiasts and Apple fans had known Steve Jobs had been battling pancreatic cancer for almost a decade, did not know the first thing about the disease.


Statement on Apple.com

According to the American Cancer Society, pancreatic cancer is the tenth most commonly diagnosed cancer in the United States, and the fourth leading cause of cancer death, with the highest mortality rate of all the major cancers. Ninety-four percent of patients die within five years of diagnosis and only six percent survive more than five years. A startling 75 percent of patients diagnosed with pancreatic cancer die within the first year of diagnosis.

Pancreatic cancer begins when abnormal cells grow rampant in the pancreas, the long organs located behind the stomach in the back of the torso. There are two types of cells in the pancreas, the exocrine cells, which produce enzymes, and the endocrine cells, which produce hormones. Cancer originating in the exocrine cells result in 95 percent of pancreatic cancer diagnoses, and less than five percent of pancreatic tumors are endocrine, or islet cell tumors. It is this rare form of pancreatic cancer originating in the endocrine cells with which Steve Jobs was diagnosed.

Treatments for pancreatic cancer vary. According to a report on Time’s health blog:

Standard treatments for pancreatic cancer include the common tumor-fighting strategies -- surgery, chemotherapy, radiation and, most recently, targeted anticancer drugs that may slightly extend patients' lives. In 2005, the Food and Drug Administration approved erlotinib, a drug that specifically targets growth factors found on cancer cells, for the treatment of patients with advanced pancreatic cancer who are receiving chemotherapy. The drug has been shown in trials to improve overall survival by 23% after a year when added to routine chemotherapy. The tumors in patients being treated with erlotinib and chemo also develop more slowly than those in patients receiving chemotherapy alone.

Unfortunately, the survival rate has not improved in the past 40 years, rising since 1975 to six percent from three percent. In fact, the Pancreatic Cancer Network reports that the number of deaths from pancreatic cancer are increasing, projecting they will grow by 55 percent between 2010 and 2030.

The main problem with pancreatic cancer is how little is known about its risk factors. Symptoms are usually attributed to different conditions. Despite being one of the deadliest types of cancer, there exist no known early detection methods. As a result, pancreatic cancer tends to be diagnosed at later stages: some 52 percent of diagnoses occur after the cancer has already spread to other organs.

"Pancreatic cancer is typically diagnosed at a late stage because it doesn't cause symptoms until it's too late," Allyson Ocean, an oncologist at New York-Presbyterian Hospital/Weill Cornell Medical Center tells Scientific American. She goes on:

Weight loss, abdominal pain, jaundice [a yellowing of the skin due to toxic buildup in the liver]—those are the most common symptoms. They usually start after the tumor is a significant size. By then, chances are, it has metastasized [that is, spread to other parts of the body].

[...] Depending on where the cancer is in the pancreas, it can affect how soon it's diagnosed. For instance, if the cancer is in the head of the pancreas, which is close to the common bile duct, and it grows and it causes obstruction of the common bile duct, a patient can get jaundiced. And then they could [show symptoms] sooner than someone whose pancreatic cancer is in another part of the pancreas, like the tail. They would not present with jaundice, so we would not have a clue that there was necessarily anything wrong with them.

Pancreatic cancer is a deadly, often silent killer. It is a shame that it would take the death of one of the most forward-thinking men in consumer technology for us to consider how much further we still have to go in terms of developing early detection methods and improving the survival rate of patients suffering from it. To this end, I maintain that instead of getting rid of the iPhones that you have and which still work, that you consider donating the money you would have spent on an iPhone 4S to pancreatic cancer research.

These being difficult times, if the money is not available to you

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terrywayne 5 pts

My best friend died of it one year a go. Wise thought to contribute for the research about it.

Grace Hwang Lynch 28 pts

A friend of mine lost her husband to pancreatic cancer, exactly one year to the day that Steve Jobs passed. In my friend's case, the cancer was already advanced by the time it was diagnosed. It was less than a year.

I think it's a great idea to think twice about buying new iPhones or whatever gadget and donate to a charitable cause.

baraka_tales 6 pts

We know as much as is promulgated when someone famous dies. I don't know the statistics (I'm sure someone here does and I don’t have time to look it up - maybe you Michelle B) of just how many people die of this disease and in what time period...but it doesn't matter. THAT he died at such a young age—and I’d venture a truly educated guess that most likely (if someone were doing that research and allowed to present it widely) that it could be traced to toxic chemicals prevalent in our society. Personally, I cried when I heard the breaking news of Steve Jobs (although I don't even own an iphone, ipad or mac) - because, well he WAS indeed a visionary--and that phrase is DEFINITELY not over used in his case. Save the next visionary, let's do better with our TRUE researching "teaching" and "learning" about the true causes of these diseases

Michele Berman 6 pts

Steve Jobs did not have the kind of pancreatic cancer most people think of when you hear "Pancreatic Cancer". He had a rare form of cancer called

islet cell neuroendocrine tumor. The only thing that these two types of cancer have in common is that the cell types from which these cancers arise are both located in the same anatomic location, the pancreas.

What is commonly referred to as “pancreatic cancer” is the kind that Patrick Swayze and Ruth Bader Ginsburg have and from which Chuck Daly died. This cancer, medically referred to as pancreatic adenocarcinoma, arises from cells lining the ducts that transfer pancreatic digestive juices into the small intenstine.

“Islet cell neuroendocrine tumors” arise from small islands of cells scattered throughout the pancreas that release hormones, such as insulin, directly into the bloodstream. Because they secrete hormones which cause symptoms, this kind of cancer is often caught early, when it is treatable, unlike adenocarcinoma, which grows insidiously until it is too late.

The liver transplant Steve Jobs had would not be a treatment for adenocarcinoma, although it can be a treatment for islet cell tumor if it has spread to the liver.

As a physician and blogger at www.celebritydiagnosis.com, it is frustrating when the media continuously propogates the misperception that Steve Jobs lived for 7 years with a kind of cancer he did not have.

In any case, the world will be a poorer one without Mr. Jobs. I know the term "visionary" is becoming overused when referring to him, but it does seem like the most appropriate word for the man.

Valerie Strohl 6 pts

My husband has the exact form of pancreatic cancer Steve Jobs had. We are two and a half years out from diagnosis and doing well. With a death rate of 95%, the only reason my husband is alive is because they found the tumor on accident. Period. No, pancreatic cancer does not receive ample funding because people simply do not know about it and they don't know about it because everyone dies. The death is a horrible one (look at Steve) and most families simply wish to rest and forget about it.

We can find a cure (colon cancer used to have the same high death rate until a marker was discovered) but it takes money and it takes the families and the people who have this type of cancer to make this happen. Steve Jobs will do more for this cancer now that he has died then he did when he was alive - and that is unfortunate.

Conversation from Facebook

Mae Webb Winter
Mae Webb Winter

My step father is one of the all too rare survivors. 6 years cancer free. It's an incredibly aggressive disease.

Tricia Leid
Tricia Leid

what i do know is that Steve Jobs and Randy Paush died from it, and they were very highly respected in their field. We need to find a cure!

Zakary Watson
Zakary Watson

My father passed away in 2005 from pancreatic cancer just ten months after his diagnosis. He was 57.

Katie Cortes
Katie Cortes

My mom's best friend died of it

Carpool Goddess
Carpool Goddess

Great article. My father passed away 30 years ago from pancreatic cancer, just six weeks after he was diagnosed. It's one of the hardest cancers to detect. They need more funding for research.

Michele Morris Cohen
Michele Morris Cohen

My stepfather lived 8 years after diagnoses and surgery. He had the same kind as Steve Jobs. He just died in Feb.