A 0.6cm side branch intraductal palliary mucinous neoplasm. Main pancreatic duct no dilated No gross peripancreatic fluid collection. What treatment should be done?
梁金豐
醫生回覆
For conservative treatment and monitor the general well being of the 80 years old patient and Cancer markers CA19.9 and liver function tests. And annual Contrast CT scan for a few years if the pancreas lesion does not progress.
If the 1cm cystic lesion in the pancreas head does not cause any sumptoms like pain or jaundice (Yellowing of the skin due to obstruction of the bile duct by the lesion), you do not need to operate before careful work up.
You need to operate when the work up shows the cystic lesion is malignant or is carrying a high potential of malignancy. You doctor will further work up for you like the blood test for liver function, cancer markers of CA19.9 and CEA and or PET scan and endoscopic ultrasound guided biopsy if malignancy is suspected.
An one cm cystic leison which is likely benign can be obstreved and moniterored closely by doctor. If the lesion is likely or confirmed malignant, a big Whipple operation is requried which carries 3% operation mortality rate in expert center.
Dr Leung
會員#18591 Fan Shuk Wah
發現肝臟水囊如何處理
病患者女 - 57歲
肝臟水囊有4.6 cm ，已發現存在兩年半，沒有任何肝炎，沒有長期食藥， 沒有撞擊損傷過， 肝酵素正常， 比起兩年半前水囊大咗少少， 水囊會繼續增大嗎？ 有可能會慢慢縮小嗎？ 需要如何處理？多謝幫忙解答 (●´з`)♡
祝安康(＊￣︶￣＊)
梁金豐
醫生回覆
A benign liver cyst of 4.6cm in the abscence of risks factors (negative viral hepatitis status and normal liver function) can be managed conservatively. She needs to be monitored by ultrasound or CT scan constantly.
梁金豐醫生(男)
梁金豐醫生(男)