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Pancreatic tumors

Pancreatic tumors can be benign or malignant and are categorized as adenocarcinomaneuroendocrine tumors, and cystic neoplasm.
 
Pancreatic adenocarcinoma
Pancreatic adenocarcinoma are the most common tumor of the pancreas, risk factors are
Symptoms of pancreatic cancer are
Diagnosis 
Following tests are required in a patient with suspected adenocarcinoma 
Treatment
Neuroendocrine tumors
Neuroendocrine tumors arise from islet cells and are classified as
Symptoms
Symptoms of neuroendocrine tumor depend upon the type of tumor, and secreted hormones. Common symptoms are
Treatment
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 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

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