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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Pavarotti has pancreas surgery


Pavarotti
 (The Spokesman-Review)
Verena Dobnik Associated Press

NEW YORK – Renowned tenor Luciano Pavarotti underwent surgery for pancreatic cancer – a kind of cancer often considered a death sentence – and is “recovering well,” his manager said Friday.

Two cancer experts said surgery offered improved odds for survival.

The 70-year-old Pavarotti, recognizable around the world with his smiling bearded face and bulk, became the most popular opera tenor since Enrico Caruso during a career that began in his native Italy 45 years ago.

Pavarotti was preparing to leave New York last week to resume a farewell tour when doctors discovered a malignant pancreatic mass, manager Terri Robson said from her London office. All his remaining 2006 concerts have been canceled.

“Fortunately, the mass was able to be completely removed at surgery,” she said, adding that “his physicians are encouraged by the physical and emotional resilience of their patient.”

She said he underwent surgery within the past week at a New York hospital that she declined to identify. He remained hospitalized on Friday.

Because pancreatic cancer is usually diagnosed at an advanced stage, it has one of the worst prognoses of all types of malignancies. Fewer than 4 percent of patients are still alive five years after diagnosis, and the majority die within a year.

But when the cancer is contained and can be surgically removed – as was Pavarotti’s – “that means he has a chance for long-term survival,” said Dr. Dan Laheru, an oncologist at the Johns Hopkins Kimmel Cancer Center in Baltimore, one of the world’s leading institutions for pancreatic cancer.

Current studies show that 15 percent to 20 percent of patients with pancreatic cancer who have had surgery are alive five years after being diagnosed, Laheru said. Of such patients, 63 percent survive one year and 42 percent two years.

Dr. Len Lichtenfeld of the American Cancer Society said: “The fact that he had surgery suggests his disease was localized, and the outlook is more optimistic.”

The pancreas, a 6-inch-long organ that lies behind the stomach, serves two main functions: It produces insulin that controls the body’s use of sugar, and it secretes enzymes needed to digest food. The cause of pancreatic cancer isn’t known but risk factors include age, cigarette smoking, excess weight and a fatty diet.

At an age when most tenors are long retired, Pavarotti’s infrequent performances in recent years capped a four-decade career at the pinnacle of the music industry.

He took advantage of the television age to become a widely marketed artist – especially as one of the Three Tenors, including Placido Domingo and Jose Carreras, who sang together at four World Cup soccer finals.

Domingo’s eyes welled with tears at the beginning and the end of a concert he participated in Friday night in Berlin for this year’s World Cup final.

“When I was singing the last aria, I couldn’t help being quite sad, thinking that Luciano is in this moment suffering,” Domingo said. “It was very, very emotional.”