Pancreatic malignancy!

Chief Complaint A 64 y/o female came with the complaint of abdominal pain History Patient had h/o breast cancer and underwent surgery and chemoherapy for the same. Investigations Biopsy was suggestive of intraductal papillary mucinous neoplasm of pancreas. CT of abdomen was performed which shows hepatic lesions. Management What is your opinion on the management part?

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Adv PET CT For metastasis and other organs involvement . Biopsy of suspicious distant lesions. Surgical intervention required if pt condition is fit for surgery.if fit go for surgical resection if not palliative therapy and chemotherapy + radiotherapy. Regular monitoring and constant evaluation required.

Thanks Dr Sandeep Ghodekar
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The current treatment options for pancreatic cancer are surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy. Your care plan also includes treatment for symptoms and side effects, an important part of cancer care.

This is an ideal case of Whipple 's Pancreatico- duodenectomy after a PET scan before further evaluation and ruling out any metastasis

Needs PET CT for possible mets. And biopsy of suspicious distant lesions, for starting palliative therapy In can no evidence of metastasis- stage disease on CECT, and check for resectability. And if resectable plz go ahead with surgery depending upon site of lesion. If not resectable, or patient is not operable need to check fitness for neoadjuvant therapy

Adv PET scan. Surgical intervention Chemoradiation further.

No image may be metastasis

Palliative treatment Chemotherapy + Radiotherapy

Refer vaidya balendu prakash

Surgery, radiotherapy, chemotherapy, immune therapy. PET scan..

SHOULD RADIOTHERAPY IT'S EFFICACIOUS ...

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