Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of branch-duct IPMN (BD-IPMN) of the pancreas, specifically noted as a dumbbell-shaped lesion. Patient denies abdominal pain, jaundice, steatorrhea, or unexplained weight loss. Current imaging review confirms stable morphology of the cystic lesion with no high-risk stigmata or worrisome features.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, non-distended. No palpable masses or organomegaly. Bowel sounds are normoactive. Skin: No scleral icterus or jaundice noted. Vital signs stable.
Treatment Protocol
Continue surveillance protocol per Fukuoka/AGA guidelines. Repeat MRI/MRCP in [6/12] months to monitor for changes in cyst size, mural nodules, or main pancreatic duct dilation. Maintain low threshold for EUS-FNA if interval growth or new high-risk features develop.