Every year on November 20, the world observes World Pancreatic Cancer Day, a global effort to shed light on this silent but deadly disease. Even with major strides in cancer care, pancreatic cancer continues to pose a formidable challenge because it is usually detected late and progresses quietly. Among the cancers contributing to this toll, pancreatic cancer stands out for its lethality and lack of public awareness. Despite being the 6th leading cause of cancer-related death worldwide, it remains one of the least recognised cancers, often overshadowed by others that receive far more attention.
A Silent Killer That Often Goes Unnoticed
Pancreatic cancer is often described as a “silent disease” because its symptoms typically appear only in the later stages. The pancreas, located deep within the abdomen, plays a crucial role in digestion and blood sugar regulation. Tumours in this organ can grow for months without causing apparent symptoms.
Why the Mortality Rate Is So High
The most troubling aspect of pancreatic cancer is its extremely low five-year survival rate, which remains under 10% worldwide. This does not indicate a lack of treatment options; rather, it underscores a harsh truth—most patients are diagnosed too late. When caught early, before the disease spreads, survival rates improve dramatically.
India faces additional barriers such as delays in specialist consultations, lack of routine screening tools, and limited public education about the disease. Many families dismiss vague symptoms like indigestion, fatigue, or back pain until the disease is already advanced.
Recognising the Early Symptoms
Though early symptoms may be subtle, awareness can make a life-saving difference. Doctors recommend watching for:
• Persistent upper abdominal or back pain
• Unexplained weight loss
• New-onset diabetes after age 50, particularly with weight loss or rapid worsening of blood sugar control.
• Yellowing of the skin or eyes (jaundice)
• Nausea, digestive discomfort, or loss of appetite
• Pale, greasy stools or dark urine
• Sudden decline in overall health or stamina
These symptoms do not necessarily indicate cancer, but prompt medical evaluation—especially by a gastroenterologist or surgical oncologist—is crucial.
Who Is at Higher Risk?
Certain groups are more predisposed to developing pancreatic cancer and should be particularly cautious:
• Individuals with chronic pancreatitis
• Those with a family history of pancreatic cancer
• People who smoke or consume excessive alcohol
• Individuals with long-standing diabetes
• Those with obesity or sedentary lifestyles
• Patients with certain genetic conditions
Why November 20 Matters
World Pancreatic Cancer Day is more than a symbolic event—it is a call to action. The purple ribbon, representing pancreatic cancer awareness, encourages communities to support patients, educate families, and promote early detection.
Every individual can play a role by learning the symptoms, encouraging loved ones to seek timely care, and helping dispel myths about the disease.
A Message of Hope
Despite its challenges, pancreatic cancer is not without hope. Advances in imaging, precision surgery, and personalised medicine are improving outcomes every year.
On this World Pancreatic Cancer Day, let us pledge to stay informed, spread awareness, recognise early warning signs, and support ongoing research. Sometimes, a simple conversation—or a decision to seek medical advice—can save a life.
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