What is pancreatic cancer?
Pancreatic cancer is cancer that starts in any part of the pancreas.
About 70% of pancreatic cancers are found in the head of the pancreas.
Pancreatic cancer can spread to nearby lymph nodes and to the lining of
the abdomen (peritoneum) or may travel through the bloodstream to other
parts of the bodyas secondary or metastatic cancer. Pancreatic cancer
arising from cells which produce enzymes to break down food is the more
common type of pancreatic cancer and is known as an exocrine tumour.
Tumours developing from the cells which secrete hormones are known as
neuroendocrine tumours.
You can access further information about pancreatic cancer, including
risk factors, symptoms, diagnosis and treatment from
Cancer
Council Victoria. You can also
call
our trusted cancer nurses on 13 11 20 for support and to learn about
our range of services for people affected by cancer.
The Victorian Cancer Registry also operates an interactive web
portal,
Data
Explorer, which provides more trends and statistics than published
here.
How common is pancreatic cancer?
In 2023, 1119 Victorians were diagnosed with pancreatic cancer. Of
these, there were 577 males and 542 females, representing 51.6% and
48.4% of the total Victorian pancreatic cancer diagnoses, respectively.
Currently, pancreatic cancer is diagnosed at a rate of 14.5 per 100,000
males and 11.7 per 100,000 females. The median age at diagnosis of
pancreatic cancer is 71 years in males and 75 in females (Figure 1 &
2). Accounting for 2.8% of all cancers diagnosed and 8% of all
cancer-related deaths in 2023, pancreatic cancer was the 8th most
commonly diagnosed cancer and the 3rd most common cause of
cancer-related deaths in Victoria.
Trends in pancreatic cancer over time
Figure 3a shows for males between 1995 to 2023 the age standardised
incidence rate of pancreatic cancer increased by an average of 1% per
year.
For females between 1993 to 2023 the age standardised incidence rate
of pancreatic cancer increased by an average of 1.2% per year.
Pancreatic cancer morphology
Figure 4 provides a summary of the different types of cells
(morphology) which have caused pancreatic cancer among all cases. Most
pancreatic cancer tumours, 63.3%, present as adenocarcinoma tumours.
Pancreatic cancer subtypes
Figure 5 provides a breakdown of pancreatic cancer by subsite
location in 2023. Most (38.2%) are found in the Head of the
pancreas.
Geographical variance in pancreatic cancer by local government
area
Figure 6 demonstrates variation in age-standardised incidence rates
of pancreatic cancer, by local government areas. Darker shading
indicates areas with higher rates of pancreatic cancer.
Pancreatic cancer in people born overseas
Figure 7 shows the age standardised incidence rates of pancreatic
cancer in Australian-born Victorians compared to other major migrant
groups, over the five-year period 2018 to 2022. The highest age
standardised incidence rate for pancreatic cancer was 21.5 for males
born in the Southern Europe region and the lowest rate of 10.5 was
observed in males born in the South-East Asia region. The highest age
standardised incidence rate of pancreatic cancer was 16.8 for females
born in the South and Central America region and the lowest rate of 6.9
was observed in females born in the Southern and Central Asia
region.
Pancreatic cancer five-year relative survival
Figure 8 shows the change in 5-year survival for pancreatic cancer,
and the 5-year survival trend for all cancers over the same time period.
It demonstrates that five-year relative survival has increased for
pancreatic cancer between 1983-1987 and 2018-2022 from 5% to 15%.