Pancreatic cancer - Causes 

Causes of pancreatic cancer 

How does cancer begin?

Cancer begins with a change in the structure of DNA, which is found in all human cells. DNA provides cells with a basic set of instructions, such as when to grow and when to reproduce.

A change in the DNA structure (genetic mutation) alters these instructions so that the cells carry on growing and reproducing uncontrollably. This produces a lump of tissue (a tumour).

How does cancer spread?

Left untreated, cancer can grow and spread to other parts of the body through the lymphatic system, blood and body cavities.

The lymphatic system is a series of glands (or nodes) located throughout your body. It is similar to the blood circulatory system. Lymph glands produce many specialised cells that are needed by your immune system to fight infection.

If cancer spreads via the blood, it can reach the liver and sometimes others parts of the body.

Risk factors

Although pancreatic cancer is not yet fully understood, several risk factors have been identified that may increase your chance of developing it:

  • older age
  • smoking
  • certain blood groups (A, A/B and B)
  • chronic pancreatitis (long-term inflammation of the pancreas)
  • as part of a family cancer syndrome 

These risk factors are outlined below.

Older age

Pancreatic cancer mainly affects people aged 50-80. Around 63% of people diagnosed with cancer of the pancreas are over 70, but it can affect people of any age.

Smoking

Smoking is associated with almost a third of all pancreatic cancer cases. Smoking cigarettes, cigars or chewing tobacco can all increase your risk of developing cancer of the pancreas. This is because tobacco smoke contains harmful toxins and chemicals that can cause irritation and inflammation (swelling) in the tissues and organs within your body.

Blood group

Patients with blood groups A, A/B or B are much more likely to develop pancreatic cancer than patients with blood group O.

Chronic pancreatitis

Chronic pancreatitis (long-term inflammation of the pancreas) will increase your risk of pancreatic cancer.

Although very uncommon, patients with hereditary (inherited) pancreatitis have a particularly high risk of pancreatic cancer, especially from the age of 40.

Last reviewed: 12/08/2010

Next review due: 12/08/2012

Can I inherit pancreatic cancer?

Cancer of the pancreas is caused by inherited genes in 1 in 10 cases.

This is partly due to inherited genes that determine blood groups and genes that make you more susceptible to pancreatitis.

For most patients, however, even when there is a clear inheritance pattern in the family, the responsible genes are not known.

A small number of people who inherit one of the faulty genes associated with breast cancer (known as BRCA1 and BRCA2) may be at an increased risk of developing pancreatic cancer later in life.

Similarly, there are cancer syndromes that have a high incidence of pancreatic cancer. These are Peutz-Jeghers syndrome and familial atypical multiple mole melanoma syndrome.