The U.S. National Comprehensive Cancer Network recommends use of the same AJCC-UICC staging system as pancreatic adenocarcinoma. : 52  Using this scheme, the stage-by-stage outcomes for PanNETs are dissimilar to those of the exocrine cancers. A different TNM system for PanNETs has been proposed by the European Neuroendocrine Tumor Society. Prevention and screening
Apart from not smoking, the American Cancer Society recommends keeping a healthy weight, and increasing consumption of fruits, vegetables, and whole grains, while decreasing consumption of red and processed meat, although there is no consistent evidence this will prevent or reduce pancreatic cancer specifically. A 2014 review of research concluded that there was evidence that consumption of citrus fruits and curcumin reduced risk of pancreatic cancer, while there was possibly a beneficial effect from whole grains, folate, selenium, and non-fried fish.In the general population, screening of large groups is not considered effective and may be harmful as of 2019, although newer techniques, and the screening of tightly targeted groups, are being evaluated. Nevertheless, regular screening with endoscopic ultrasound and MRI/CT imaging is recommended for those at high risk from inherited genetics.Use of aspirin is said to lower the risk of pancreatic cancer. Management
Exocrine cancer
A key assessment that is made after diagnosis is whether surgical removal of the tumor is possible (see Staging), as this is the only cure for this cancer. Whether or not surgical resection can be offered depends on how much the cancer has spread.
(Paul Anka appears in a cameo as a casino pit boss who loathes Presley.) Presleys studio version of the song, recorded in 1971, was included on the fourth disc of "Walk a Mile in My Shoes: The Essential 70s Masters". Certifications
Sid Vicious
Sex Pistols bassist Sid Vicious did a punk rock version of the song, in which a large body of the words were changed and the arrangement was sped up. The orchestral backing was arranged by Simon Jeffes. Interviewed in 2007, Paul Anka said he had been "somewhat destabilized by the Sex Pistols version. It was kind of curious, but I felt he [Sid Vicious] was sincere about it. "Vicious and his girlfriend, Nancy Spungen, changed many of the words when it was recorded, including use of the swear words "cunt" and "fuck" as well as the word "queer" (slang for a gay man). Viciouss reference to a "prat who wears hats" was an in-joke directed towards Viciouss friend and Sex Pistols bandmate Johnny Rotten, who was fond of wearing different kinds of hats he would pick up at rummage sales. Leonard Cohen said of the song: I never liked this song except when Sid Vicious did it. Sung straight, it somehow deprives the appetite of a certain taste we’d like to have on our lips. When Sid Vicious did it, he provided that other side to the song; the certainty, the self-congratulation, the daily heroism of Sinatra’s version is completely exploded by this desperate, mad, humorous voice.