Pancreatic tumors can occur and should not be complacent. Because it may detect pancreatic cancer or other diseases of the pancreas. Therefore, checking the health of the pancreas and consulting a doctor when there are abnormal symptoms is important that should not be ignored.
How do you know if you have a lump in your pancreas?
- The initial detection of a pancreatic lump can be done by ultrasound. However, the pancreas may not be clearly visible because the pancreas is behind it and is obstructed by the stomach or intestines. Therefore, it may be examined more clearly by CT Scan or MRI.
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- A pancreatic lump can cause jaundice. Physical examination revealed a lump in the abdomen, feeling full quickly and losing weight.
- A pancreatic lump may be accidentally detected by ultrasound or other abdominal examinations.
Types of lumps in the pancreas
Pancreatic nodules can be categorized as solid and cyst, and most often diagnosed by ultrasound examination. (Ultrasonography) or computed tomography (CT Scan)
- Lump (Solid) If a lump is found (Solid), it may be necessary to differentiate the disease from the benign group from malignant or cancerous (Cancer) with various diseases, such as the condition found in pancreatitis. Endocrine or Pancreatic Neuroendocrine Tumor (PNET) nodules. PNET can detect a wide range of diseases ranging from good to malignant tumors. Accessory Spleen and Pancreatic Cancer
- Cyst If a cyst is found, it is advisable to look at the appearance of the cyst that is detected to aid in the initial differential diagnosis. Most are not malignant. However, additional tests such as endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI/MRCP) may be required to help diagnose pancreatic cysts. increased clarity
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Does the size of the lump matter?
- The size of the lump or pancreatic cyst may be related to the likelihood of a diagnosis of necrosis. If the size is large, the risk of malignancy is usually higher than the small one. However, some large cysts may not be malignant.
- Your doctor will recommend surgical treatment for pancreatic cancer that is classified as surgically treatable or disease that has the potential to develop into cancer in the future.
- Lumps that are at risk of developing malignancy, such as lumps formed by the endocrine glands of the pancreas. Your doctor will recommend surgery if it is larger than 2 cm. If it is smaller than 2 cm, it will be assessed through biopsy and cell changes to determine the appropriate treatment.
- In pancreatic cysts, if diagnosed with malignancy, surgical treatment should be performed. But if the cyst is small and is not a high risk. can be treated with close surveillance
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How is a pancreatic lump diagnosed?
- CT Scan and MRI are clear and accurate in diagnosis at 85-90 percent.
- Histological diagnosis may not be necessary in all patients. But it will help in patients who are not clearly diagnosed. or to confirm the diagnosis if it is in the advanced stage
- Diagnosis of a cyst may require additional examination by endoscopic ultrasound (EUS) and may be performed with a suction of fluid from the cyst for a definitive diagnosis.
Chances of getting cancer when a lump in the pancreas is found.
Pancreatic lumps are not always malignant or cancerous. Patients are generally worried about cancer. Therefore, the patient should see a specialist to know whether the disease is diagnosed as malignant or not. Including guidelines for further treatment In the diagnosis of various diseases, there are factors that help in the initial diagnosis, such as sex, age, symptoms, including the nature of a lump or cyst detected by radiology.
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pancreatic lump treatment
In general, treatment for a pancreatic lump depends on the patient’s diagnosis and symptoms, including:
- If a lump in the pancreas is good and asymptomatic May consider treatment by observing the symptoms and not requiring surgery. They may schedule an appointment and have a radiology check every 6-12 months for symptoms and disease progression.
- If a lump in the pancreas is in good type but shows symptoms Consider the abnormal symptoms detected, for example, if there is jaundice, endoscopic retrograde cholangiopancreatography (ERCP) and no surgical treatment may be considered. However, if the disease is found to have a potential for malignancy, surgical treatment may be considered.
- If a large cyst is caused by pancreatitisand has symptoms from pressing nearby organs Endoscopic and gastric drainage or surgical treatment may be considered in cases where other treatments are not available.
- If it’s a lump or cyst that has the potential to be malignantor detected as malignant Recommend surgical treatment (Pancreatic Resection or Pancreatectomy) if surgery is still possible in hopes of curative management.
If pancreas surgery is required, which surgical technique should be chosen?
- The location of the lump determines the surgical technique.
- Laparoscopic surgery of the distal pancreas A laparoscopic distal pancreatectomy may be considered in patients with pathology located in the pancreatic body and tail without any constraints. The advantage is quick recovery, shorter hospital stay. and have less pain after surgery compared to open surgery
- Surgical removal of the pancreatic head may be primarily considered open surgery due to its complex anatomy and surgical technique. by treatment with laparoscopic surgery Laparoscopic pancreaticoduodenectomy is a relatively new and time-consuming surgical procedure. But this method may be considered if the surgeon has the expertise.
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How can pancreatic cancer be prevented?
- healthy eating including fruits and vegetables to help reduce the risk
- Take care of your health by exercising regularly and controlling your weight.
- Refrain from smoking and drinking alcohol in moderation.
- If you have any unusual symptoms such as abdominal pain, jaundice, bloating, fast fullness, or weight loss Consult a medical professional for proper diagnosis and treatment planning.
Thank you health information from Bangkok Hospital