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Pancreatic tumors

Pancreatic tumors can be benign or malignant and are categorized as adenocarcinoma, neuroendocrine tumors, and cystic neoplasm.

Pancreatic adenocarcinoma

Pancreatic adenocarcinoma are the most common tumor of the pancreas, risk factors are

  • Cigarette smoking
  • Tobacco chewing
  • Genetic mutations
  • Chronic pancreatitis

Symptoms of pancreatic cancer are

  • Pain in upper abdomen
  • Jaundice
  • Loss of appetite
  • Weight loss

Diagnosis

  • Following tests are required in a patient with suspected adenocarcinoma
    • Ultrasonography abdomen
    • CT scan
    • Diagnosis is confirmed by endoscopic ultrasound and fine needle aspiration

Treatment

  • Best available treatment is surgical resection.
  • However only 20 % of tumors are usually resectable
  • In the rest of cases treatment options are chemotherapy and palliation with stent placement in common bile duct and duodenum for relief of jaundice and vomiting respectively

Neuroendocrine tumors

Neuroendocrine tumors arise from islet cells and are classified as

  • Insulinoma
  • Gastrinoma
  • Somatostatinoma
  • VIPoma
  • Non Functional tumor

Symptoms

Symptoms of neuroendocrine tumor depend upon the type of tumor, and secreted hormones. Common symptoms are

  • Diarrhea
  • Recurrent ulcer formation
  • Attacks of hypoglycemia

Treatment

  • Primary treatment of neuroendocrine tumor is surgery
  • Chemotherapy and somatostatin analogues are useful in metastatic diseases

Cystic neoplasm

Cystic neoplasm are usually detected incidentally, and has to be differentiated from pseuodcysts

Most common type of cystic neoplasm are

  • Serous cystadenoma
  • Mucinous cystadenoma
  • IPMN (Intraductal papillary mucinous neoplasm)
  • Solid pseudopapillary neoplasm

Symptoms

  • Small lesion are usually asymptomatic and detected incidentally on imaging
    Large lesions can lead to pain/jaundice

Diagnosis

Following tests are required in a patient with suspected cystic neoplasm

  • EUS is the test of choice for diagnosis and differentiation
  • During EUS, cyst fluid can be aspirated for analysis
  • Ultrasonography of abdomen
  • CT scan of abdomen
  • Diagnosis is confirmed by endoscopic ultrasound and fine needle aspiration

Treatment

  • Small asymptomatic lesions can be followed up
    Large or symptomatic lesions should be resected

Reviews

I have come across Dr Vikas post lots of research via internet,going through the various feedbacks& I hope my feedback will help anybody who is in dilemma in selecting right doctor.Without a doubt he is one of the top doctors in GI.
Dr Vikas is one of the wonderful,gentle&talented doctor I have come across,he provides the correct direction &also helps in clearing all the doubts/concerns. Moreover his attendent is also very helpful& will heIp you in all possible way.I am very pleased on the overall experience & highly recommend.Thanks doctor for you wonderful support in all ways.May God bless you more & keep on giving great service !!!

Catherine

Dear DGOC
Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit)

Gaurav khare

The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.

Ankit sharma

I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.

Ojaswita

Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.

Dr Noor Ahmad noori