In short
Pancreatic cancer is a disease where abnormal cells form in the tissues of the pancreas [6]. The pancreas helps make digestive juices and hormones like insulin [6]. Doctors use stages I through IV to describe how far the cancer has spread [6].
The details
Pancreatic cancer starts when cells in the pancreas grow out of control [6]. Most cases (about 95%) begin in exocrine cells that produce digestive juices [6].
Staging uses the TNM system to assign a stage from I to IV [6].
Stage 0 means abnormal cells are found in the lining of the pancreas but may not be cancer yet [6].
Stage I means the cancer is found only in the pancreas [6]. Stage IA tumors are 2 cm or smaller, while Stage IB tumors are larger than 2 cm but no more than 4 cm [6].
Stage II means the tumor is larger than 4 cm (Stage IIA) or has spread to 1 to 3 nearby lymph nodes (Stage IIB) [6].
Stage III means the cancer has spread to four or more nearby lymph nodes or to major blood vessels near the pancreas [6].
Stage IV, also called metastatic pancreatic cancer, means the tumor has spread to other parts of the body like the liver or lungs [6].
Doctors also group cancers as resectable (can be removed by surgery), borderline resectable (hard to remove completely), or locally advanced [6].
What to know
Early pancreatic cancer often has no symptoms, which makes it hard to diagnose early [6]. The overall 5-year survival rate is about 12% [8]. Survival rates are much higher for localized disease (46%) than for distant disease (3%) [8]. Only a small number of patients (14%) are diagnosed at the localized stage [8].
โ๏ธ This is for learning, not treatment decisions. Always talk with your oncology team โ they know your full situation. The information here comes from published research and is meant to help you have better conversations with your doctors.