Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a pancreatic mucinous cystic neoplasm (MCN). Imaging confirms a cystic lesion with characteristic peripheral "eggshell" calcification. Patient denies constitutional symptoms, jaundice, or abdominal pain. No history of pancreatitis or trauma.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, non-distended. No palpable masses or organomegaly. Bowel sounds normal. No signs of peritoneal irritation.
Treatment Protocol
Plan: Surgical consultation for potential resection given the presence of peripheral calcification, which may indicate a higher risk of malignancy. Recommend endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) for fluid analysis (CEA, amylase, cytology). Serial monitoring via MRI/MRCP if surgery is deferred.