Cystic Pancreatic Lesions - EChin

Cystic Pancreatic Lesions - EChin - Team IV & Surgical...

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Ed Chin, MD September 21, 2004
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Case 2 34F, healthy, recently post-partum Abdominal mass noted by OB-Gyn No hx pancreatitis, weight loss CT scan: 20 cm cystic mass Splenic vein thrombosis?
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Operative Course
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Postop Course Diet advanced Diarrhea c. diff + D/c’d POD#6 with PO flagyl JP removed in office Pathology: mucinous cystadenoma CEA = 689 CA 19-9 = 42
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Cystic Pancreatic Neoplasms Serous cystadenoma (32-39%) Mucinous cystadenoma (10-45%) Intraductal Papillary Mucinous Neoplasm (21-33%) Solid pseupapillary neoplasm (<10%) Cystic endocrine neoplasm (<10%) Ductal adenoca with cystic degeneration (<1%) Acinar-cell cystadenocarcinoma (<1%)
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Diagnosis Serous and mucinous neoplasms: Mean age 50 yrs Female: male = 4:1 Asymptomatic (< 75%) Symptoms: Abdominal pain Mass Jaundice Prior pancreatitis
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Serous Cystic Neoplasms Most common
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Cystic Pancreatic Lesions - EChin - Team IV &amp; Surgical...

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