Pancreatic Cancer Concerns: What tests are done for diagnosis?
Hi everyone, looking for some additional thoughts on guidance on my situation. Here is some history on what I have been experiencing the last 8 months.
45 y/o male and have had pancreatic concerns/symptoms over the last 8 months. I’m 5’8 and 200lbs. Just wanted to get some advice if any more tests should be done or be confident of what has been done so far.
-left side mid-back pain (worse when sitting or lying down
-left side pain in upper quadrant. Dull pain most of the time, but has gotten severe enough for multiple ER visits
-minimal weight loss, but fell like I have lost muscle mass and experienced weakness. Especially on the forearms, biceps, and legs. --While only a 2 lb weight loss during this time, have also gone down 3 belt loops
-Excessive burping and not just after meals
What’s been done so far:
-3 Abdominal and Pelvic CT Scans with contrast (no pancreatic protocol). All have resulted in a normal pancreas. 2 showed moderate stool and most recently a mild fatty liver. Everything else normal
-Multiple blood tests mostly clear, except for most recently showing a blood glucose of 103 (fasting). Typically less than 90
-C-Reactive Protein normal
-Liver blood tests normal
-Met with primary doctor and 4 GI doctors
-3 ER visits, including hospital stay
-Upper endoscopy found mild gastrititis
-Clear urine test
-Clear chest x-ray
Doctors feel confident it is not cancer. The belief it is a mix of GERD and functional abdominal pain.
I understand pancreatic cancer can be missed on a CT scan, but can it be missed on 3? My concern is it could be in the body or tail and hard to see via imaging.
Should I request an MRI, MRCP, or CT with pancreatic protocol? Any other tests or exams to consider? Or should I trust the doctors and tests and work up that has been done so far. No history of pancreatic cancer in my family and understand I am most likely dealing with some level of health anxiety as well.
Thanks so much for any thoughts and feedback you can provide.