Seeking Expert Guidance for Pancreatic Cancer Edema Resolution?

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

I appreciate your concern for the pancreatic cancer patient experiencing such debilitating symptoms. Allow me to offer some insight into the possible treatment approach for this complex scenario.

It is quite likely that the patient is grappling with liver metastasis compounded by liver failure. Additionally, there exists a significant likelihood that deep venous thrombosis, characterized by clots in the vessels of both legs, may be present. This association between pancreatic cancer and clot formation in the lower limbs is well-documented.

To address this multifaceted issue, it is imperative to initiate a comprehensive diagnostic workup. This should encompass a range of blood tests, including complete blood count (CBC), coagulation profile assessment, evaluation of kidney and liver function, as well as serum albumin levels. Furthermore, a thorough urine test should be conducted to gain further insights into the patient's condition.

Considering the possibility of deep venous thrombosis, it may be prudent to perform a Doppler ultrasound examination of the lower limbs. However, the decision to proceed with this diagnostic procedure should be made following a thorough clinical assessment by a qualified healthcare professional.

In conclusion, the management of pancreatic cancer patients presenting with edema in the lower limbs and mobility issues demands a meticulous and multidisciplinary approach. By conducting a thorough evaluation and initiating appropriate interventions, we aim to alleviate the patient's symptoms and enhance their overall quality of life.

Thanks