Please enable JavaScript.
Coggle requires JavaScript to display documents.
((Initial evaluation:, Comprehensive history and physical examination,…
-
- Comprehensive history and physical examination
- Laboratory tests, including tumor markers
- Imaging studies, such as CT scan, MRI, and endoscopic ultrasound (EUS)
- Endoscopic evaluation, including endoscopic retrograde cholangiopancreatography (ERCP) and EUS-guided fine needle aspiration (FNA)
-
- Confirm the diagnosis of IPMN and periampullary carcinoma through histopathology and cytology
- Determine the stage and extent of both tumors through imaging studies and endoscopic evaluation
- Evaluate the patient's overall health status, comorbidities, and surgical risk
-
- Develop an individualized treatment plan based on the patient's clinical presentation, tumor characteristics, and surgical risk
- Consider the potential benefits and risks of simultaneous surgery versus staged surgery for each tumor
- Discuss the treatment options with the patient and provide informed consent
-
- Distal pancreatectomy for IPMN involving the body or tail of the pancreas
- Pancreaticoduodenectomy (Whipple procedure) for IPMN involving the head of the pancreas or concurrent periampullary carcinoma
- Staged surgery for patients with significant comorbidities or high surgical risk to minimize morbidity and mortality
- Adjuvant chemotherapy, radiation therapy, or targeted therapy may be considered for high-risk or advanced tumors based on the patient's overall health status and tumor characteristics
-
- Regular follow-up appointments to monitor for recurrence or metastasis of either tumor
- Surveillance imaging studies and endoscopic evaluation as recommended by the healthcare team based on the patient's individual risk factors and tumor characteristics