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

Prostate Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Prostate Cancer?

Prostate cancer begins in the prostate gland, a small organ located below the bladder in men that produces seminal fluid. It is one of the most common cancers among men worldwide. Prostate cancer often grows slowly and may not cause symptoms in the early stages, but some types can be aggressive and spread rapidly without timely treatment.

How common is prostate cancer in the Philippines?

Prostate cancer is one of the most common cancers among Filipino men, and the risk generally increases with age. 

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

  • Prostate cancer is the 3rd most common cancer in men in the Philippines, with an estimated 9,764 new cases in 2022 (about 11.8% of new cancers in males). 
  • Across both sexes, prostate cancer ranked 5th overall in new cancer cases in 2022 (9,764 cases; 5.2% of all new cancers). 
  • Prostate cancer caused an estimated 3,850 deaths in 2022 (ranked 9th among cancer deaths nationwide).  

These figures highlight why awareness, timely consultation for symptoms, and appropriate evaluation are important—especially for older men. 

What Are the Signs and Symptoms of Prostate Cancer?

In its early stages, prostate cancer may not show noticeable symptoms. When symptoms do appear, they can include:

These symptoms can also be caused by non-cancerous conditions such as benign prostatic hyperplasia (BPH), but it is important to consult a doctor if they persist.

How is Prostate Cancer Diagnosed?

Doctors may recommend several tests if prostate cancer is suspected:

  • Prostate-specific antigen (PSA) blood test – measures PSA levels which can be elevated in cancer
  • Digital rectal examination (DRE) – allows the doctor to feel for abnormalities in the prostate
  • MRI scans or ultrasound – provide detailed imaging
  • Prostate biopsy – confirms the presence of cancer cells

What Are the Causes and Risk Factors of Prostate Cancer?

The exact cause of prostate cancer is not known, but several risk factors increase the likelihood of developing it:

What Are the Types of Prostate Cancer?

Most prostate cancers are adenocarcinomas, which develop from the glandular cells. Less common types include small cell carcinomas, neuroendocrine tumours, and transitional cell carcinomas.

What Are the Stages of Prostate Cancer?

Prostate cancer is staged based on how far it has spread:

Stage I

Confined to a small part of the prostate

Still within the prostate but may be larger or involve both lobes

Spread beyond the prostate to nearby tissues such as seminal vesicles

Spread to lymph nodes, bones, or other organs

What are the Treatments for Prostate Cancer?

Treatment depends on the stage, overall health, and patient preferences. Options include:

Active Surveillance

Monitoring low-risk cancers closely.

Surgery (Radical Prostatectomy)

Removal of the prostate gland.

Radiotherapy

External beam or brachytherapy.

Hormonal Therapy

Lowering testosterone levels that fuel cancer growth.

Targeted Therapy

For advanced or resistant cancers.

Immunotherapy

In select cases.

Advances in treatment allow many men to live long lives after prostate cancer diagnosis.

Meet Our Doctors

At OncoCare Philippines, our multidisciplinary team includes oncologists specialising in prostate and urological cancers, urologists with expertise in minimally invasive surgery, radiation oncologists, radiologists, pathologists, and oncology nurses. Together, they provide a comprehensive and personalised treatment 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