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Pancreatic cancer can be trtaeed for cure under very specific conditions. It spreads by local invasion and via lymphatic channels. If it is caught early prior to invasion in the local vasculature, it can be trtaeed for cure via several procedures Whipple (pancreaticoduodenectomy), Total Pancreatectomy, or Distal Pancreatectomy. A major issue is catching it early. The symptoms of this disease early on are usually no symptoms, vague abdominal pain, mild discomfort. It is hard to detect. There is also no good screening that is cost effective. The reason for this is the cancer is not that common, and the tests available are not that cheap. This makes for a very inefficient screening method. The ones out there currently that can detect pancreatic cancer include CT scan of the abdomen and Endoscopic Ultrasound. Both of these tests have their own drawbacks. CT scan of the abdomen involves radiation that may set you up for a cancer. Endoscopic ultrasound requires sedation, a specialist (gastroenterologist), and has risks of perforation. Also the tests need to have a high degree of sensitivity (meaning that there is a high number of people who have the disease also test positive). Endoscopic ultrasound is being used more for symptomatic pancreatic cancer, but I do not know of studies used for screening the general population.Another issue is it's proximity to other organs. It is near the duodenum, stomach, inferior vena cava, aorta. It is also a part of the biliary system and liver. It can spread to many important organs easily.There is some increased hope on the horizon as new chemotherapy drugs are being developed. Dr. Vickers at the University of Minnesota is doing clinical trials on a new medication that will hopefully help with treating the disease.