Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a known diagnosis of Solid Pseudopapillary Neoplasm (SPN) of the pancreas, now presenting with metastatic disease involving the liver and peritoneum. Current symptoms include [abdominal pain/distension/early satiety/weight loss]. Review of systems is positive for [nausea/vomiting/jaundice/fatigue]. ECOG performance status: [0-4].
Clinical Examination Findings
General: Patient appears [well-nourished/cachectic]. Abdomen: Distended, with palpable [hepatomegaly/masses]. Positive shifting dullness suggesting ascites. Bowel sounds [present/hypoactive]. Extremities: [No edema/pitting edema present]. Neurological: Alert and oriented x3.
Treatment Protocol
Plan: Multidisciplinary team (MDT) review for systemic therapy vs. surgical debulking. Initiate [chemotherapy regimen/targeted therapy]. Symptom management: [Analgesics/diuretics for ascites/nutritional support]. Monitor liver function tests and tumor markers (CA 19-9, CEA) every [interval].