Pancreatic Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Pancreatic Cancer?

Pancreatic cancer arises when cells in the pancreas begin to grow uncontrollably, forming malignant tumours. The pancreas sits deep in the abdomen, behind the stomach, and has two important functions: producing digestive enzymes to help break down food, and releasing hormones such as insulin to regulate blood sugar.

Because of its location and the lack of obvious early warning signs, pancreatic cancer is often diagnosed late. This makes it one of the most challenging cancers to treat, with outcomes closely tied to how early the disease is detected.

How common is pancreatic cancer in the Philippines?

Pancreatic cancer is less common than breast, lung, or colorectal cancer, but it remains a serious concern because it accounts for a notable share of cancer deaths. 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022) Philippines fact sheet: 

  • The Philippines had an estimated 4,045 new pancreatic cancer cases in 2022 (ranked 13th among all cancers; about 2.1% of new cancer cases).
  • There were an estimated 3,946 deaths from pancreatic cancer in 2022 (ranked 8th among cancer deaths; about 3.5% of cancer deaths).  

Worldwide, pancreatic cancer is known to have low overall survival, largely because many cases are diagnosed when the disease is already advanced. 

What are the Signs and Symptoms of Pancreatic Cancer?

Early pancreatic cancer may cause no or only vague symptoms. As the disease progresses, patients may notice:

Because these symptoms can mimic other conditions, medical attention is crucial if they persist.

How is Pancreatic Cancer Diagnosed?

Diagnosis usually involves several steps:

  • Blood tests: Checking liver function, blood sugar, and tumour markers like CA 19-9
  • Imaging scans: CT scans, MRI, PET scans, or endoscopic ultrasound to visualise the pancreas and surrounding organs
  • Biopsy: Obtaining a tissue sample, often guided by endoscopy or imaging, to confirm the cancer type

Early and accurate diagnosis is key to determining whether surgery is possible.

What are the Causes and Risk Factors of Pancreatic Cancer?

While the exact causes remain unclear, certain factors may raise risk:

Protective factors include childbirth, breastfeeding, and use of oral contraceptives, which may lower the risk.

What are the Types of Pancreatic Cancer?

Exocrine tumours (Pancreatic ductal adenocarcinoma)

The most common type, accounting for about 90% of cases

Arise from hormone-producing cells, less common but may grow more slowly

What are the Stages of Pancreatic Cancer?

Stage I

Cancer is confined to the pancreas

Cancer spreads to nearby tissues or lymph nodes

Tumour involves major blood vessels or extensive lymph nodes

Cancer spreads (metastasises) to distant organs, most often the liver or lungs

What are the Treatments for Pancreatic Cancer?

Treatment depends on the stage, location of the tumour, and patient’s overall health:

Surgery

The only potential cure. The Whipple procedure (pancreaticoduodenectomy) is performed if cancer is confined to the head of the pancreas. Distal pancreatectomy or total pancreatectomy may be used in other cases.

Radiotherapy

Used alone or with chemotherapy to control tumour growth.

Targeted Therapy

Available in selected patients, especially those with specific genetic mutations.

Immunotherapy

Available in selected patients, especially those with specific genetic mutations.

Palliative Care

Focuses on symptom control (e.g. pain, jaundice, digestion issues) and quality of life, especially in advanced stages.

At OncoCare Philippines, patients may also be offered access to regional clinical trials, which provide opportunities to benefit from new drugs and combination treatments.

Survival and Prognosis

Pancreatic cancer is one of the most challenging cancers to treat, with outcomes depending greatly on how early it is detected, the stage of disease, and a patient’s overall health. When surgery is possible, survival rates improve significantly. In advanced cases, treatment often focuses on slowing progression, relieving symptoms, and supporting quality of life.

At OncoCare Philippines, conversations about prognosis are approached with care and clarity. Our specialists take the time to explain what the diagnosis means, outline realistic treatment options, and guide patients and their families in making informed decisions. Every patient is supported with compassion and respect, ensuring their care plan is as individual as their journey.

While pancreatic cancer remains difficult to treat, research and innovation are bringing new possibilities. Advances in surgery, chemotherapy combinations, and targeted therapies are steadily improving outcomes. With ongoing global and regional clinical trials, patients today have access to more options than ever before.

Meet Our Doctors

At OncoCare Philippines, our multidisciplinary team includes oncologists specialising in gastrointestinal cancers, hepatobiliary and pancreatic surgeons experienced in advanced resections, radiation oncologists, radiologists, and pathologists. Supported by oncology nurses, dietitians, psycho-oncology counsellors, and rehabilitation specialists, they work together to deliver a personalised care plan for every patient.

Dr. Angelo Miguel M. Realina
Palliative Care Specialist | Interventional Pain Management Specialist
Dr. Arthur Jason S. Go
Medical Oncologist
Dr. Beverly Ann P. Pineda
Medical Oncologist 
Dr. Carlo Ruperto P. Aguilar
Radiation Oncologist
Dr. Carlos Joseph T. Panaligan Jr.
Consultant Anesthesiologist
Dr. Claudine Yvette S. Gulapa
Anesthesiologist
Dr. Gonzalo C. Banuelos, Jr.
Radiation Oncologist
Dr. Jason King D. Talao
Medical Oncologist 
Dr. Jerickson Abbie S. Flores
Radiation Oncologist
Dr. Joel R. Tayo
Medical Oncologist
Dr. Jose Enrique Y. Montoya
Medical Oncologist
Dr. Karl Jeremy B. Lo
Radiation Oncologist
Dra. Kristine Anne B. Monte
Internal Medicine Specialist
Dr. Marwin M. Manalo
Medical Oncologist
Dr. Misael C. Cruz
Radiation Oncologist
Dr. Noel S. Chua
Medical Oncologist
Dr. Paulo S. Tioleco
Medical Oncologist
Dra. Rosalina P. Tongol
Internal Medicine