Tests and diagnostics

There is no simple screening blood test that can reliably find pancreatic cancer in people at average risk. Diagnosis usually starts when symptoms persist, a scan is ordered for another reason, or a high-risk clinic is following someone with a family history or gene mutation.

Common tests

• CT scans of the abdomen and chest to look at the pancreas and for spread
• MRI / MRCP to see ducts and soft tissue in more detail
• Endoscopic ultrasound (EUS) with possible fine-needle biopsy
• ERCP when bile ducts are blocked
• Blood work including CA 19-9 (a marker, not a screening test) and liver function
• Genetic testing of the tumor and of the patient when it may change treatment

Getting the right test at the right center can change whether a tumor is called resectable. If you feel you are at high risk, bring a written family history to your physician and ask about a high-volume pancreatic program. NPCF’s helpline — 1-800-859-NPCF (6723) — can help you locate providers in your area.