Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a pancreatic mass incidentally discovered on [Imaging Modality]. Patient denies symptoms of hormonal hypersecretion (no flushing, diarrhea, or hypoglycemia). Review of systems is negative for weight loss, jaundice, or abdominal pain. No family history of MEN1 or VHL syndromes.
Clinical Examination Findings
Abdominal examination reveals a soft, non-tender abdomen. No palpable masses, organomegaly, or ascites. Skin assessment negative for neurofibromas, café-au-lait spots, or flushing. Performance status: ECOG [0-1]. Vital signs stable.
Treatment Protocol
Management plan: 1. Surgical consultation for potential resection based on tumor size and location. 2. Baseline serum chromogranin A and pancreatic polypeptide levels. 3. Consider EUS-FNA for histological grading (Ki-67 index). 4. Surveillance imaging (MRI/CT) if observation is chosen for small, asymptomatic lesions.