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What causes pancreatic cysts?

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Posted on Wed, 20 May 2015
Question: Dear Doctor,

My husband has recently undergone a CT scan. It was ordered by the doctor that treated him actually for a viral infection. He had found in my husband's chest X-ray some darker region and hence ordered for a CT scan. The lungs are reported all normal however, through an incidental finding, they have spotted a cyst on the pancreas. I am attaching the report in this email for your review.


A second opinion from your side with regards to scan would be very helpful.

Thanks in advance,

Abagtha (wife)
doctor
Answered by Dr. Kaushal Bhavsar (59 minutes later)
Brief Answer:
Please answer following questions.

Detailed Answer:
Thanks for your question on HCM.
I have gone through the CT report, you have attached.
Please let me know these things first.
1. Is your husband having abdominal pain?
2. Is your husband having nausea or vomiting?
3. Is your husband having indigestion?
4. Is your husband having pain in the middle of back?
5. Is your husband alcoholic?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (19 minutes later)
Dear Doctor,

Thank you for your reply.

Please find below my answers.

1. He did have abdominal pain some months ago, however it was intermittent and short lived. he is not have any abdominal pain.

2. No nausea or vomiting.

3. No indigestion.

4. No pain in the middle of the back.

5. Not an alcoholic.

Kind regards,
Abagtha
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
No need to worry for this cyst in pancreas.

Detailed Answer:
Thanks for your follow up question on HCM.
No need to worry for his pancreatic cyst.
Because he is asymptomatic and not having any grave symptoms.
His cyst wall is also calcified, this is the sign of benign cyst.
So chances of malignant cyst is very very less and his cyst is mostly benign in nature. This is the accidental finding only.
Please let me know
1. Has he ever checked for amylase and lipase?
2. Is he having weight loss?
3. Any history of abdominal trauma in past?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (13 hours later)
Dear Doctor,

Thank you for your reply and for explaining the nature of the cyst. It is relieving to know that the signs and symptoms indicate the benign nature of the cyst.

1. We did not check for amylase and lipase.
2. He has always been a lean person so I do not feel he has lost weight drastically.
3. No history of abdominal trauma.

Doctor, could you advice what shall we do now with regards to the cyst. Should it be left just like that or there is any medication that can be taken to dissolve it?

What is the follow up for the cyst now?

Thanking you in advance for your advice.

Regards,
Abagtha
doctor
Answered by Dr. Kaushal Bhavsar (13 minutes later)
Brief Answer:
No need to worry for this pancreatic cyst.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
At present no need to worry for pancreatic cyst.
For satisfaction of not having any pancreatic disease, get done serum amylase, lipase and CEA levels.
If these are normal then no need to worry for pancreatic disease.
In future, watch for
1. Abdominal pain
2. Nausea and vomiting
3. Pain in middle of back.
4. Weight loss.
If any of these symptoms occur, then remind about this pancreatic cyst to your treating doctor.
And get done repeat CT abdomen after 6 months to see the tumour size whether static or decreasing or enlarging.
If it remains static or decreasing then no need to worry for further follow ups.
At present, no treatment is required.
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (7 minutes later)
Dear Doctor,

Thank you for your reply and for confirming that no treatment is required for the pancreatic cyst at the moment.

Please could you also explain to me with regards to his lungs i.e. point 2 of the conclusion section of the CT scan. I did understand that he has some aortic recess which is an anatomical variation. then it goes on to say that some calcified ductus arteriosus is also seen. I hope these are all nothing to worry about.

Thanking you,
Abagtha
doctor
Answered by Dr. Kaushal Bhavsar (20 minutes later)
Brief Answer:
Please let me know following things.

Detailed Answer:
Thanks for your follow up question on HCM.
Please let me know following things.
1. Is he having any chest complains like cough, breathlessness, chest pain or wheezing?
2. Is he having chest tightness or chest pressure?
3. Is he having hypertension?
4. Has he ever checked for lipids?
5. Is he diabetic?
6. Is he smoker?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (2 minutes later)
Dear Doctor,

Please see my replies below.

1. No chest complains.
2. No chest tightness
3. No hypertension. However, he has a stressful job.
4. Did not check for lipids.
5. He is not diabetic.
6. Not a smoker.

Thanking you,
Abagtha
doctor
Answered by Dr. Kaushal Bhavsar (50 minutes later)
Brief Answer:
No need to worry much for this anatomical variation.

Detailed Answer:
Thanks for your follow up question on HCM.
No need to worry for this anatomical variation as he is totally asymptomatic chest wise.
And get done lipid profile also.
It will mostly come normal as he is lean and thin.
And such anatomical variations are normal.
This can be accidental finding only, as he is asymptomatic.
No treatment is required for such anatomical variation.
He is working in which place?
I will be happy to help you further.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (17 minutes later)
Dear Doctor,

Thank you for helping me through all my queries. The situation is definitely more clear now. Sometimes we don't think of all these queries when we are at the doctor's clinic and hence they come up later on.

He has an office job and works in the middle east (UAE).

Best regards,
Abagtha
doctor
Answered by Dr. Kaushal Bhavsar (2 hours later)
Brief Answer:
No need to worry for his pancreatic cyst.

Detailed Answer:
Thanks for your follow up question on HCM.
And yes I can understand your situation and position of mind after visiting doctor with such inconclusive reports.
No need to worry for his pancreatic cyst.
Get done repeat CT scan for evaluating size of cyst after 6 months.
At present no treatment is required.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wishing good health to your husband.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14925 Questions

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What causes pancreatic cysts?

Brief Answer: Please answer following questions. Detailed Answer: Thanks for your question on HCM. I have gone through the CT report, you have attached. Please let me know these things first. 1. Is your husband having abdominal pain? 2. Is your husband having nausea or vomiting? 3. Is your husband having indigestion? 4. Is your husband having pain in the middle of back? 5. Is your husband alcoholic? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your husband. Thanks.