Pancreatic Cancer

OHSU surgeon Flavio Rocha meets with a patient in an exam room.
Dr. Flavio Rocha is part of a team of OHSU surgeons who are making surgery an option for more pancreatic cancer patients than ever.

Pancreatic cancer starts when cells grow out of control in the pancreas, an organ that sits between the stomach and spine. The pancreas helps digest food and control blood sugar.

Pancreatic cancer has few or no early signs, making it harder to find and treat. Still, five-year survival rates have more than doubled since 2004.

At the Knight Cancer Institute,  our expertise, large team and unmatched research give you the highest level of care. The National Cancer Institute recognizes the Knight as one of the best cancer centers in the nation.

We offer:

OHSU’s Dr. Brett Sheppard is one of the world’s leading experts on pancreatic cancer care and research.

Our excellence

National recognition: We’ve earned the National Cancer Institute’s highest designation for research excellence.

Advanced training: Our doctors completed fellowships — at least a year of post-residency training — at top cancer centers. They include the National Cancer Institute and Stanford, Duke and Johns Hopkins medical centers.

Commitment to research: We are one of the world’s few fully integrated pancreatic treatment and research centers. Our doctors and scientists in the Knight Cancer Institute and the Brenden-Colson Center work together to bring discoveries in the lab to patients as quickly as possible.

Early detection: Finding pancreatic cancer early is a core mission of the Brenden-Colson Center. The center has joined forces with the Knight Cancer Institute’s Cancer Early Detection Advanced Research Center to detect pancreatic cancer when it’s most curable. The center also offers a clinic for patients at high risk of pancreatic cancer.

What is pancreatic cancer?

Anatomy of the pancreas

The drawing shows the pancreas, stomach, spleen, liver, bile ducts, gallbladder, small intestine and colon. An inset shows the head, body and tail of the pancreas. The bile duct and pancreatic duct are also shown.

Pancreatic cancer occurs when abnormal cells in the pancreas grow out of control.

The pancreas is shaped like a long, horizontal pear. It’s about 6 inches long and has three main parts: a head, body and tail.

Who gets pancreatic cancer?

Pancreatic cancer accounts for about 3% of new cancer cases in the U.S. each year, according to the National Cancer Institute. It is slightly more common in men than women. Risk increases with age.

Learn more about pancreatic cancer risk factors.

Learn more about the risk factors, symptoms and treatments for pancreatic cancer.

Types of pancreatic cancer

There are two main types:

Exocrine pancreatic cancer: This is the much more common type. It starts in exocrine cells, which make proteins called enzymes to digest food. The most common type of exocrine pancreatic cancer is ductal adenocarcinoma. It starts in the pancreatic duct, which runs along the pancreas and connects with the small intestine.

Neuroendocrine pancreatic cancer: This type forms in endocrine cells, which make hormones. These cancers are also called pancreatic neuroendocrine tumors, or PNETs.

Pancreatic cancer survival rates

Pancreatic cancer is challenging to treat, in part because it’s often found after it has spread. Long-term survival rates are discouraging. 

At the same time, five-year survival rates have steadily climbed. They have more than doubled since the mid-2000s, according to the National Cancer Institute. It’s also important to know that cancer survival rates are based on large groups of people. They can’t predict what will happen to you.

There are signs of hope, too. The Knight and other major cancer centers can offer surgery to more patients than ever. Your team at the Knight will be devoted to giving you the longest, highest-quality life possible.

Clinical trials and research

Clinical trials are research studies with human subjects. Trials may test new devices, new drugs, or existing drugs in new combinations. Or they may test new ways to prevent or find cancer.

Our leadership inclinical trials gives you early access to promising treatments. Our national and global research partners also help with the latest advances.

Support services

Learn more

For patients

Call 503-494-7999 to:

  • Request an appointment
  • Seek a second opinion
  • Ask questions

Location

Knight Cancer Institute, South Waterfront

Center for Health & Healing, Building 2
3485 S. Bond Ave.
Portland, OR 97239

Free parking for patients and visitors

Refer a patient

Cancer clinical trials

Clinical trials allow patients to try a new test or treatment.

‘The surgeon is the method’

Dr. Flavio Rocha with patient Anne Matsen.

Anne Matsen traveled to OHSU from Seattle to get surgery from Dr. Flavio Rocha, an expert in the Whipple procedure.

Read more

Learn more about OHSU Knight Cancer Institute treatments:

Find other pancreas care at OHSU.

Stay informed

News: Read about research breakthroughs, patient care and many other topics on our OHSU News site.