Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of progressive epigastric pain radiating to the back, associated with unexplained weight loss, early satiety, and occasional steatorrhea. No history of chronic pancreatitis or familial cancer syndromes. Symptoms are consistent with a pancreatic mass, necessitating investigation for acinar cell carcinoma.
Clinical Examination Findings
Physical examination reveals a palpable epigastric mass, mild jaundice, and scleral icterus. Abdominal palpation demonstrates tenderness without rebound or guarding. Cachexia and muscle wasting noted. Lymphadenopathy absent on initial palpation.
Treatment Protocol
Multidisciplinary approach initiated. Surgical consultation for potential pancreaticoduodenectomy (Whipple procedure) or distal pancreatectomy based on tumor localization. Adjuvant chemotherapy regimen (e.g., FOLFIRINOX or Gemcitabine/Nab-paclitaxel) to be determined by oncology board. Pain management and enzyme replacement therapy for exocrine insufficiency implemented.