It is known that the tobaccoism is related to, at least, 30% of all the deaths for cancer. It is factor of risk for the appearance of the carcinomas of lung, mouth, faringe, uterine larynx, esophagus, stomach, pncreas, crvix, kidney and bladder. Also the morbidade for cardiovascular illnesses, cerebrovasculares, pulmonary illness obstrutiva chronicle (DPOC), peptic illness and other afeces more is raised between the tabagistas. (BALBANI; MONTOVANI, 2005). Rare times, are developed before the 50 years, mainly in the band between 65 and 80 years.

The mortality tax specific cause of the neoplasia of pncreas, sufficiently is raised. Thus being, they is esteem that in the year of 2000 28,300 cases had been diagnosised in U.S.A. and that they had been registered 28,200 deaths for this illness. The adenocarcinomas make metstase for the linfonodos precociously. When the diagnosis of the pancretico cancer is made, many patients already presents metstase heptica.

The natural history of the cancer of pncreas are to evolve with metstases linfonodais in the majority of the cases, beyond compromising the liver, the peritnio, the pulmes and pleura supplies-renal and it. According to 2008, Health department, specific amortalidade was of 3.785 deaths in the year of 1997, consisting in the tenth cause of death of cancer in our country, with 3,54% of all the cases. No longer Japan, esteem that this incidence is increasing, with annual mortality for this superior cause the 13,000 cases. (WELTMAN et al, 2002). Still according to author above, the radical surgical intervention, represented for the total or partial pancreatectomia, duodenopancreatectomia or gastroduodenopancreatectomia, folloied or not of esplenectomia, is considered as the only modality of treatment with potential Real dressing. These surgical interventions, exactly in centers with much experience, are feasible in 15% 34% of the cases. Still thus, the supervened probability of in five years of the radically operated patients is placed enters 10% 20%.