Clinical features

Clinical presentation includes epigastric pain, pancreatitis, weight loss, diabetes, and jaundice {2169, 1953, 942}; some patients have no symptoms. Some cases are detected because of dilatation of the pancreatic duct seen incidentally in imaging studies. Serum amylase and lipase are commonly elevated. Endoscopic ultrasound, ERCP, and endoscopic examination of the pancreatic duct {1596} may all contribute to pre-

Fig. 10.21 Intraductal papillary-mucinous neoplasm. A Large neoplasm in the head of the pancreas containing multiple cystic spaces. B The lesion illustrated in A sectioned to demonstrate the dilated, mucin-filled main pancreatic duct (arrowheads).

operative diagnosis. Endoscopic biopsy or cytology may provide histological confirmation, but definitive diagnosis requires surgical removal and extensive histological sampling. Serum markers such as CEA and CA19-9 are too insensitive to be of value {2148, 1953}.

Was this article helpful?

0 0
Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment