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Heterogenous mass in the pancreas - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
I am father of a 31 yo female who went into the ER 5 days ago with severe stomach and back pain. Blood tests revealed amylase slightly elevated (119) but no other problems. Pancreatitis was suspected, no blockages (gall stones) discovered. a 4.9 cm "heterogeneous mass" was found in the head of the pancreas through ultrasound. Kidneys, gallbladder and liver appear normal. How serious of a situation is my daughter faced with.
Doctor :   hi
Doctor :   DR
Doctor :   LET ME read your query
Doctor :   the heterogenous mass in the pancreas could be either due to pancreatic damage or some thing benign
Doctor :   a CT scan will be very helpful in this case to give an anatomic picture and clarity in this situation
Doctor :   the symptoms do seem to be due to pancreatitis and these will resolve with symptomatic and supportive management
User :   DR , she is scheduled for a EUS scan tomorrow
Doctor :   also tests such as serum lipase, will be confirmative here for pancreatitis
User :   Her amylase is back to normal, she is a smoker, her mother died 11 years ago of a bile duct cancer.
Doctor :   EUS is ok, as it will give a picture by endoscopy and ultrasound
Doctor :   but a CT scan in my opinion is more beeficial in this case
User :   serum lipase levels are normal, she has been drinking a protein drink no other food, pain has decreased and she has lost 7 pounds (3km)
Doctor :   ok
Doctor :   i guess she is recovering now
Doctor :   and the symptoms will completely rtesolve soon
Doctor :   ARE U THERE ?
User :   DR , thank you for your information, a CT scan, will be scheduled after tomorror's EUS , what is the possibility of benign vs neoplasm
Doctor :   the chances of malignancy are less considering her young age and very less symptoms
Doctor :   the mass seen on USG could be mostly due to pancreatitis associatis fat necrosis in the stomach area and not cancer per se
User :   You have been very helpful and encouraging, signing off, XXXXXXXX Dalto
Doctor :   you are welcome
Doctor :   thanks for consulting me here
Doctor :   bye for now
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