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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cystic Growth In Pancreas. Biopsy Done. Could It Be Pancreatic Cancer?

I have been told I have a cyt like growth in my pancreas. My doctor referred me to a larger city specialist. This specialist said it had to come out. His schedule did not allow for as early a surgery as his colleague. I was booked for surgery, travelled to the larger centre, went through some more testing nd finally met the surgeon who was doing the surgery the next morning. She stated that she had decided to cancel the surgery and just monitor the growth. I was upset for I did not want this thing left to grow inside. A biopsy was done. I did not get the results for 6 weeks and then only because my original doctor kept calling for results. There were some begnein cells but also some questionable cells so that the report said a diagnosis could not be certain. I was again told I was put on the OR list. After 2 weeks of trying to reach the surgeon, she finally called me. She told me that she had again taken me off the surgery list and wanted to watch this growth and that I would have to fly to this big centre in 3 months for a scan. She was quite condescending about my doctor and our local imaging people's ability. I am getting a lot of mixed messages from her. My local doctor wants this thing out, so do I but she wants to wait and watch it. I am very nervous that this will turn bad. She says there is no chance of that happening. I have a family history of cancer. My mother, grandmother and everyone on my mother's side have died from cancer, 2 of them from pancreatic cancer. She cannot understand why I am worried about this and thinks I just want some surgery. My question is, do I have a reason to worry, do I push to have this growth taken out now. She did say that she would do it if I insisted. If she agrees to do it, can I trust her?
Hope you can help me decide if I should push this and if yes, how do I go about it.
Thu, 26 Sep 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
i dont htink you need surgery at this point. cysts and cancer are usually easily diagnosed by imaging techniques. Also some tumor markers can help to evaluiate this. If this was cancer it would already show aggresivity in these 6 weeks since pancreatic tumors are infiltrative. all you need is frequent follow up to se cyst size progression.
Wish you good health. Regards
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Cystic Growth In Pancreas. Biopsy Done. Could It Be Pancreatic Cancer?

Hi and welcome to HCM. i dont htink you need surgery at this point. cysts and cancer are usually easily diagnosed by imaging techniques. Also some tumor markers can help to evaluiate this. If this was cancer it would already show aggresivity in these 6 weeks since pancreatic tumors are infiltrative. all you need is frequent follow up to se cyst size progression. Wish you good health. Regards