Conditions We Treat

There are many types of pancreatic cancer, which fall into two subgroups, based on the type of cell where they start. More than 90 percent of pancreatic cancers are exocrine tumors, arising from cells that produce pancreatic digestive juices. The others are neuro-endocrine tumors that develop from cells that produce pancreatic hormones (such as insulin) and have variable malignant potential. Among the conditions we treat:


At the Pancreatic Cancer Multidisciplinary Clinic, we strive to give you an accurate diagnosis as quickly as possible. If you reach out to the center, you will hear from us within 24 hours and your appointment will be scheduled within a week. Unfortunately, there are no effective screening tests available to catch pancreatic cancer in its early stages. Diagnosis typically begins when your doctor suspects that your symptoms may be related to pancreatic cancer. A range of tests will follow, including:


Our fellowship-trained physicians are specialists in treating pancreatic cancer using a combination of surgery, chemotherapy and radiation therapy. We will build a customized treatment plan for you, using a multidisciplinary approach that combines the latest options available. Our team includes gastroenterologists, endocrinologists, internationally recognized interventional endoscopy physicians, pancreatic surgeons, medical oncologists, radiation oncologists, pathologists, radiologists, physicians specializing in genetic and palliative medicine  and nutrition specialists.

Treatment of pancreatic cancer typically involves a combination of chemotherapy and surgery, sometimes with radiation therapy. In general, treatment options are decided based on clinical and radiological characteristics, broken down into four groups, based on patient clinical condition and the anatomic relationships of the tumor with the surrounding vasculature. Molecular profiling of pancreatic cancer with genetic analysis is increasingly being used at our center to formulate treatment decisions.

Resectable: If the cancer has not spread beyond the pancreas, and the entire tumor can be removed, surgery, often combined with chemotherapy, is the preferred treatment. This group typically includes cancers that are stage I or II. With this diagnosis, your doctor may recommend upfront surgery. Chemotherapy and radiation may also be used.

Borderline resectable: When the cancer has reached nearby blood vessels, surgery may still be possible. You would first be treated with chemotherapy and often radiation therapy followed by surgery. Cancers are typically stage II or III.

Locally advanced (Unresectable): These cancers are still primarily confined to the pancreas and nearby organs, but also have spread to surrounding major blood vessels. Chemotherapy is likely to be followed by radiation therapy. Depending on tumor response, surgical removal may be an option. This group typically includes stage III cancers.

Metastatic:  When the cancer has spread to distant organs, treatment is through chemotherapy, if it can be done safely. Radiation therapy may be used to improve symptoms.

Among the specific treatment options:

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