Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of mixed-type IPMN involving the branch ducts with suspected main duct involvement. Patient reports [no/mild/significant] epigastric pain, early satiety, or unexplained weight loss. No history of acute pancreatitis, jaundice, or steatorrhea. Current imaging surveillance protocol reviewed.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, non-distended. No palpable masses or organomegaly. Bowel sounds present. No signs of jaundice or scleral icterus. Performance status ECOG [0-1]. Vital signs stable.
Treatment Protocol
Continue surveillance per Fukuoka/AGA guidelines. Repeat MRI/MRCP in [3/6/12] months to monitor for high-risk stigmata or worrisome features (e.g., main duct dilation >5mm, enhancing mural nodules >5mm). Consider EUS-FNA if morphological changes progress. Maintain low-fat diet and optimize pancreatic enzyme replacement therapy if exocrine insufficiency is present.