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Cancer Center
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Need a Second Opinion?

If you'd like to schedule an appointment for a second opinion, call 434.924.9333.

  

Need a Second Opinion?

If you'd like to schedule an appointment for a second opinion, call 434.924.9333.

Questions?

If you need to speak with someone about your appointment, call 434.924.9333.

  

Make an Appointment

If you'd like to make an appointment or get a second opinion, call 434.924.9333.

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Questionnaire

Patient Questionnaire

Are you at increased risk for pancreatic cancer? Answer these questions to find out and get help from the experts at UVA.

  1. Do you have one first degree relative (parent, sibling, child), and another relative (grandparent, grandchild, aunt, uncle, niece, nephew) with pancreatic cancer or who has died from pancreatic cancer?
    □ Yes  □ No
     
  2. Have you ever had a pancreatic cyst or mass?
    □ Yes  □ No
     
  3. Do you have any of the following:
    • Peutz-Jehger Syndrome
    • Hereditary non-polyposis colorectal cancer (HNPCC)
    • BRCA2
    • Familial atypical melanoma and mole syndrome (FAMM)
    □ Yes  □ No
     
  4. Do you have familial pancreatitis (two or more family members with pancreatitis in more than one generation)?
    □ Yes  □ No
     
  5. Do you have chronic pancreatitis?
    □ Yes  □ No
     

If you answered "Yes" to any of these questions, you may be at increased risk for pancreatic cancer. We can help you. Call 434.243.5233 to learn more about our high-risk clinic for early detection and prevention of pancreatic cancer.