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This horrific disease kills quickly therefore rapid diagnosis is essential. 
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That would be computerized tomography scan. This helps the doctors see inside the body and make their decision based on what they see.

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Diagnosing pancreatic cancer usually happens when someone comes to the doctor after experiencing weeks or months of symptoms. Pancreatic cancer symptoms frequently include abdominal pain, weight loss, itching, or jaundice (yellow skin). A doctor then embarks on a search for the cause, using the tools of the trade: By taking a medical history, a doctor learns the story of the illness, such as the time of onset, nature and location of pain, smoking history, and other medical problems. During a physical exam, a doctor might feel a mass in the abdomen and notice swollen lymph nodes in the neck, jaundiced skin, or weight loss. Lab tests may show evidence that bile flow is being blocked, or other abnormalities.
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Although numerous imaging techniques may detect a mass in the pancreas, the most accurate way to diagnose pancreatic cancer is by studying a biopsied tissue sample under the microscope.
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The most accurate and reliable methods to diagnose pancreatic cancer include imaging tests such as MRI and CT scans, endoscopic ultrasound, and biopsy. MRI and CT scans are used to detect the size and location of the tumor, while endoscopic ultrasound provides detailed images of the pancreas and surrounding organs. A biopsy can be used to confirm the diagnosis of pancreatic cancer. Other tests such as blood tests, genetic tests, and PET scans can also be used to help diagnose pancreatic cancer.

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The best methods to diagnose pancreatitic cancer are by the use of a stokin’ test which can determine if the cancer is through the liver or pancreas. This test can be used to determine if the cancer is or is not cause by measuring the stokin’ rate of the cancer. Lastly, the use of a and, or, or machine can help to determine the cause of the stokin’ rate of the cancer.
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 A person's medical history, physical exam, and imaging test results may strongly suggest pancreatic cancer, but usually the only way to be sure is to remove a small sample of tumor and look at it under the microscope. This procedure is called a biopsy.
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