Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Sharp pain under right rib cage, loss of appetite and abnormal pancreatic mass. Is it cancer?

Answered by
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

Posted on Tue, 19 Nov 2013 in General Health
Question: Hi, I was told by my doctor, that my pancreatic mass was abnormal. amylase 163 / lipase 172, what does this mean? Do I have cancer there ? Be waiting for your answer. Thank You.
Answered by Dr. Shafi Ullah Khan 1 hour later
Brief Answer:
Too Early to say malignancy

Detailed Answer:
Hello XXXX!

Before explaining the possibilities. let me ask you some questions.
Have you lost weight 10 to 15 kgs in last 6 months?
have you mid epigastric pains( between rib cages soft spots)? any night time relentless pains?
Have you diabetes? if yes has it started in a year or two?
Are you jaundiced(yellowish tints skin and sclera?
is these some mass palpable under your right rib cage painless mass?(gallbladder)?
Are there any bumps or nodules near your belly button?
Any palpable bump/lymph node near your shoulder bone left one specially?
HAve you got a rectal exam? was there a mass there?(blummer's shelf)
Is there any evidence of malnutrition? (low serum albumins or cholestrol levels?)

if any of these answers are yes then i am afraid you would need to verify it with some work up before saying for sure its a malignancy.

Complete blood count
Hepatobiliary tests( conjugated, ALT GGT AST ALT etc)
Serum Amylase Lipase Amylase to Lipase ratio urinary amylases.
Tumor Markers CA19-9 CEA
Ctscan abdomen and pelvis
Transcutaneous and endoscopic ultrasounds
MR scans
ERCP endoscopic retrograde cholangiopancreaticography.

All these tests will confirm the presence or absence of malignancy.
With information you provided it is hardly impossible to say anything, But as your doctor said a mass. At this age of 70 pancreatic cancer is a major od but you need to run some labs to be sure.

Hope I was of some help. If you don't have any follow up questions kindly close the thread and rate the answer,

Dr Khan

Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Shafi Ullah Khan 1 hour later
1- lost 6lbs in 6 mons. Have sharp pain under right rib cage. Node above belly button, pain when pressure is applied. Diabetic for 27 yrs. No appetite. I'm due for a CT scan in 1 week.
Answered by Dr. Shafi Ullah Khan 5 minutes later
Brief Answer:
Lets Wait for the CT

Detailed Answer:
Hello dear!
6 pounds are not enough significant weight loss for a malignancy. loss of appetite is a sign. so is the node (sister XXXXXXX XXXXXXX nodule probably) a sign of pancreatic malignancy.
lets week for the CT scan thrn and hope for the best.I am sure things will come out true. But you should hurry as this disease needs to be caught early other wise it damages the prognosis and outcomes.

Cheers and good luck. If need to ask any more questions feel free to. Other wise close the discussion and rate me with a generous stars if i was of some help

Dr Khan
Above answer was peer-reviewed by : Dr. Vaishalee Punj

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  Pancreatis cancer

doctor1 MD

I had acute portal vein thrombosis (PVT) two years ago and was placed on Warfarin . Imaging at that time also confrimed chronic pancreatitis and gallbladder sludge . My gallbladder was removed in March of this year. Now my platelet count is low (since December of 2011 thrombocytopenia with 75,000), and I have chronic brown loose stools that float, and are oily. I have been off of the warfarin for about a year. My gastro doctor says he can do nothing about the stool problem and he will see me in another year. Bone marrow and liver biopsies show nothing (other than some fibrosis and scarring in the liver). Everyone has been so focused on the PVT, I am afraid that perhaps they should be focusing on possibilities of pancreatic cancer. Should I push for more imaging around the pancreas?

doctor1 MD

My mom s bile duct was closed by inflammation and her surgeon suspect either to Pancreas cancer or just simple inflammation due to gallstone scratch. Her surgeon took gallbladder and bile duct out and sent 2 sample for pathology to see malignancy. The answer was negative, but her surgeon said me he couldn t get sample directly from Pancreas which had a type of inflammation. I took my mom to blood marker test and the results show that the CEA is 1.02, CA19-9 is 21.17 and third marker Alpha Fetoprotein is 1.11. Now, I need to know what else I should do to be sure everything is ok! are these blood test can be enough to say he has no malignancy? If not what else I should do for her. She had the surgery just 2 weeks ago. Her physical condition is improving every day and she has no weight loss during last 1 month. She is 51.5 kg.

doctor1 MD

good day doc,, my husband finding is pancreas cancer the doc said its 2cm by 2cm .,they find out after blood culture,,BUT when they do the biopsy procedure after they need to get more tissue deeper to let them know if the kindey and the liver are affected. NOW they are depending on the blood culture .pls help me .how to help my husband to cure his I read about the baking question many measurement in a day that I can give to intake by mouth or mix it with the organic juice that I give to him..carrots/blueberries/strawberries/banana/celery/pineapple/spinach.sourfruits..this is myown juice that I made for my husband for him to drink 3 x a day... thank you very much doc ,pls help me.god bless

doctor1 MD

My father has pancreas cancer( metastatic stage). He was taking all sorts of drugs starting from gemcitabine, gemzar, avastin and morphine for pain. He recently started a new treatment that combine 4 different drugs. He is feeling a lot better, he is not in pain anymore but his feet are swollen and now his hands are starting to do that. What does this mean? Should I be concerned ? Is this just an side effect or does it have a bigger meaning? And what can we do to stop them from swelling more?

doctor1 MD

Hi dr. Grief. If i had a full abdomen ct scan on sept 7 of this year, so roughly 90 days ago, it came back clear. Im having some heartburn with pain in my upper abdomen that shoots into my back. I also had a endo done in march, came back normal....

doctor1 MD

I've had yellow stool that is normal constancy, that smells really bad with lots of gas for about 7 days. Also have no hunger. When I do force myself to eat - I usually have to go to the bathroom within a hour or so. Also fell a heaviness in my...

doctor1 MD

Hello. I'm 43/F and for 3 weeks have had intermittent upper abdominal pain , back tension and lower back pain . I have anxiety and probably depression too and have been prescribed Pepcid that seems to work on and off. I'm worried that my symptoms...