Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [vague abdominal discomfort/early satiety/palpable mass]. History is significant for a cystic lesion identified on imaging (CT/MRI) characterized by [multiloculated/septated] appearance, located in the [pancreatic body/tail]. No history of pancreatitis or alcohol abuse. Patient denies constitutional symptoms, jaundice, or weight loss.
Clinical Examination Findings
Abdominal examination reveals [soft/distended] abdomen, non-tender to palpation. No evidence of hepatosplenomegaly or ascites. Surgical scars noted [if applicable]. Bowel sounds are present and normoactive. No palpable masses identified on physical exam; however, deep palpation in the [epigastrium/left upper quadrant] is [unremarkable/suggestive of mass].
Treatment Protocol
Recommended management: Surgical resection (distal pancreatectomy) is the gold standard for MCN given the malignant potential. Pre-operative workup includes [EUS-FNA/CA 19-9 levels]. Post-operative surveillance plan: [serial imaging/pathology review]. Prophylactic antibiotics and venous thromboembolism (VTE) prophylaxis initiated.