Pancreatic Cancer Care

When you’re a patient at Providence, we don’t just treat your pancreatic cancer – we treat you. We use the most advanced treatments to create a highly personalized care plan. We also support you and your loved ones with a full range of services throughout your entire cancer journey. The result is effective, whole-person care for your body, mind and spirit.

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About Pancreatic Cancer

Pancreatic cancer is a gastrointestinal cancer that forms in the pancreas, the organ behind the stomach that helps with digestion and blood sugar regulation. The expert oncology teams at Providence use the most effective therapies to treat patients with every type of pancreatic cancer and its related conditions.

Testing and Diagnostics

Personalized Treatment for Pancreatic Cancer

We take a team approach to your pancreatic cancer treatment because we know this offers the best success in controlling and curing cancer. Your multidisciplinary cancer care team will work with you to design an individualized cancer care plan, from diagnosis to post-treatment support. We offer many different therapies across our Providence locations. Depending on your condition, your personal care plan may include one or more of the following:

Systemic Therapies Surgical Therapies Radiation Therapies

Systemic Therapies

Systemic therapies travel through the bloodstream and affect cells in other body parts. They are used for patients whose cancer has spread to other areas of the body or if there’s a high risk of spread. Sophisticated genetic analysis allows us to target therapies to specific DNA mutations that cause cancer cells to develop and grow. Systemic therapies include:

Biomarker and genomic clinical trials (NCI-MATCH and TAPUR) are a group of research clinical trials involving patients with tumors that contain specific genetic mutations. These patients receive drugs directed toward their specific mutation, regardless of the type of cancer they have.

Participants in clinical trials may receive treatments not yet available to everyone. They also receive extra follow-up care in addition to their standard care. Taking part in the search for new and better cancer treatments can be personally satisfying, as participants become part of the advancement of medicine.

Every clinical trial has inclusion and exclusion restrictions that a patient must meet before enrolling in the trial. Before you decide to take part, doctors and clinical trial coordinators tell you all the known risks.

Cooperative group (NCTN) clinical trials are studies designed by a consortium of leading national cancer researchers. The goal of these studies is to test the newest and most cutting-edge innovations.

Chemotherapy is the systemic use of cytotoxic chemicals to kill cancer cells. Today there are many medications (e.g., biological medications, immune treatments, targeted therapies) that do not fit the classic definition of chemotherapy yet are often included in this category.

Commercial clinical trials represent research studies sponsored by the pharmaceutical industry. These trials may include new non-FDA approved drugs, FDA approved drugs being used in a non-FDA approved cancer, or in a new novel combination. These trials are often used to obtain FDA approval for the new treatment.

Molecularly targeted therapy is the use of drugs that are molecularly targeted at a genetic mutation that has allowed the cancer to grow. This therapy enables personalized treatments for patients who carry certain genetic mutations or abnormalities.

Surgical Therapies

Surgical therapies involve an operation or procedure to remove cancer from the body. Surgery may be the main treatment for some invasive cancers, but it’s only one part of the entire treatment plan. Surgical therapies include:

Irreversible electroporation (IRE) of the pancreas is a procedure that uses electrical currents to treat pancreatic tumors.

Laparoscopic  pancreatectomy & Open pancreatectomy is surgical removal of part of the pancreas and possibly the spleen.

Total Pancreatectomy is a rare surgery used to treat extreme cases of chronic pancreatitis or cancer. It involves removing the pancreas, bile duct, spleen, gallbladder, part of the small intestine and affected lymph nodes.

Whipple procedure is surgery to remove cancerous tumors; and to examine blood vessels and surrounding tissue to detect the spread of cancer cells. It is one of the most effective treatments for pancreatic and neuroendocrine cancers and offers a good chance for full recovery.

Radiation Therapies

Radiation therapy uses high-energy radiation from a source like X-rays or photons to kill cancer cells or shrink tumors. It may be part of a treatment plan that also includes systemic therapies and/or surgery. Radiation is sometimes used to help ease a patient’s pain or discomfort. Radiation therapies include:

Image-guided radiation therapy delivers high-dose radiation, guided by imaging, directly to the tumors.

Intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) are advanced types of radiation therapies. IMRT uses advanced technology to manipulate the radiation beams to conform to the shape of a tumor. VMAT is a subtype of IMRT in which the machine actively delivers radiation beams while moving in an arc around the patient.

This method of radiation delivery offers next-generation capabilities. The arc-based therapy provided via VMAT delivers high doses of radiation to more focused areas, reducing side effects and the overall treatment time for the patient. This treatment is particularly effective at treating several types of cancer while at the same time reducing toxicity and harm to vital organs.

This procedure is one of several new ways to deliver radiation therapy. It requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.

Radiopharmaceuticals (Y-90) is a group of treatments delivered by a catheter and consisting of millions of microscopic, radioactive microspheres that are infused into the arteries that feed the tumor. Y-90 microspheres are delivered into the arteries and can be used to treat cancer that has spread, or metastasized, to the liver. These particles become embedded into the cancer cells and deliver the radiation directly to the cancer site. Two commonly used agents are Theraspheres and Sir Spheres.

The advantage of this treatment is that the radiation penetrates only a short distance, so the risk to the organ is very low while the dose the cancer experiences is very high.

This procedure is one of several new ways to deliver radiation therapy directly into the tumor site. It requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.

Stereotactic radiation (SABR/SBRT) is a group of treatments that includes stereotactic body radiation therapy (SBRT) and stereotactic ablative radiation (SABR) – both of which are adaptations of stereotactic radiosurgery (SRS) – for the treatment of targets in the body, but outside the brain. Similar to SRS, these techniques deliver very high doses of radiation using sophisticated motion management and patient immobilization techniques.

The number of radiation treatments is minimal and may range from one to five treatments delivered over one to two weeks.

Surface-guided radiation therapy (SGRT/SIGRT) is an approach to radiation targeting that offers real-time beam guidance from face and body surface-recognition systems.

This treatment is particularly effective at treating several types of cancer while at the same time reducing toxicity and harm to vital organs, thus minimizing side effects.

This advanced procedure requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.

Three-dimensional conformal radiation therapy (3DCRT) is a radiation planning and treatment technique in which three-dimensional (3D) imaging enables improved targeting for radiation treatment. 3D planning with CT imaging makes radiation treatment much more conformal, or tailored to the target.

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Accreditations

We are proud to see our dedication to our cancer patients recognized by some of the most well-respected programs and institutions in the United States. Several of our Providence locations have achieved the following accreditations: