Question 1

does mild scaring seen in mrcp & eus increase pancreatic cancer in future? asymptomatic.  gastros not concerned but i read studies on risk.

Accepted Answer

No: but need follow up care  of the ' mild scaring '  its nature

Question 2

is the accuracy high for finding early pancreatic cancer with normal mrcp (not the secretin-enhanced mrcp)?

Accepted Answer

Yes: In the literature, the sensitivity, or ability of MRCP test to correctly identify those with pancreatic cancer, is in the 80% range and the specificity, or the ability of MRCP to correctly identify those without the pancreatic cancer, is  in the high 90's%.  Those are pretty good odds.

Question 3

my a1c is climbing from 5.6 to 5.8 in over 1 year. i also have fluctuating lipase numbers without symtoms. this has been going on 4 years. mrcp clear. does this sound like early pancreatic cancer?

Accepted Answer

Elevated Lipase: Elevated Lipase can be a concern for pancreatitis. Have you had any significant weight loss, abdominal pain? If you are concerned about cancer of the pancreas, you can get some imaging test done or tumor markers checked by your primary care doctor

Question 4

hi i had an mr mrcp scan to primarily investigate a prominent cbd. it also looked at the pancreas and reported, "is of normal volume with normal t1 signal return". would this suggest there were no tumors or other signs of pancreatic cancer?

Accepted Answer

: Yes but I am not certain what MR MRCP and CBD and T! means exactly in UK in men like you.  Never use abbreviations in medical communications.  Can be deadly.

Question 5

hi doctor i recently had mri with and without contrast and mrcp and the results cameback normal should i still worry about pancreatic cancer?

Accepted Answer

No: Stop worrying, Steve! I'm glad you're okay. Maybe there's an organic cause, or maybe it's nerves. Really happy for you.

Question 6

is an mrcp better than a ct scan in detecting pancreatic cancer?

Accepted Answer

Not necessarily: Most times MRCP is done without using intravenous contrast, and the study is primarily to look at the bile ducts and pancreatic duct. In such a situation, all the study accomplishes is to tell yes or no, the ducts are dilated or not and gives an indication where the obstruction is. CT, when well done can be better. 
On the other hand, if the MRI contrast can be comprehensive.

Question 7

if mrcp & ct scan with contrast were clear of pancreatic cancer, what are chances eus can find pancreatic cancer? are odds on my side with clear mrcp?

Accepted Answer

Odds are good: MRI with MRCP is quite sensitive and specific.  There is limited head to head data regarding to the two techniques of MRI/MRCP and EUS - though MRI/MRCP is less invasive and less operator dependent. As a side note, there is data available that suggests MRI/MRCP has a sensitivity and specificity of in the 80's and high 90's(percentage wise) respectively.  Reasonably good numbers.  Best of luck.

Question 8

floating stools sent me to gastro. fecal fat high 13g/24 hrs but fecal elastase >500. lost 5 pounds. 2 mris with contrast and mrcp reveal normal pancreas and normal caliber of duct. should i worry about pancreatic cancer as cause of high fecal fat?

Accepted Answer

Floating stools: usually related to excess intake of dietarty fats. Eliminatge all fried, greasy and fatty foods for 2 weeks and add dietary fibers: cereals, grains, fruit and vegetables. I woulde also get an ultrasound of your andomen as well as amylase and lipase enzymes.

Question 9

symptoms of pancreatic cancer?

Accepted Answer

Depends on location: Pancreas is a fish-shaped organ with its head tucked  into the duodenum (c-shaped beginning of small intestine coming off stomach). If tumor blocks bile duct or panc duct, causes abdominal pain, pancreatitis, jaundice. If it's in tail, will cause no symtptoms till very large or spread to other areas. Most common: weight loss, mental status change such as new onset depression.

Question 10

how is pancreatic cancer diagnosed?

Accepted Answer

Biopsy: Pathology gives the diagnosis of pancreatic cancer, 
typically a needle guided biopsy of the pancreatic mass seen at the time of endoscopy a ct-guided biopsy by interventional radiologist is performed.

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Doctor answers about:

Mrcp pancreatic cancer

A member asked:

Does mild scaring seen in mrcp & eus increase pancreatic cancer in future? asymptomatic. gastros not concerned but i read studies on risk.

A member asked:

Is the accuracy high for finding early pancreatic cancer with normal mrcp (not the secretin-enhanced mrcp)?

A member asked:

My a1c is climbing from 5.6 to 5.8 in over 1 year. i also have fluctuating lipase numbers without symtoms. this has been going on 4 years. mrcp clear. does this sound like early pancreatic cancer?

A member asked:

Hi i had an mr mrcp scan to primarily investigate a prominent cbd. it also looked at the pancreas and reported, "is of normal volume with normal t1 signal return". would this suggest there were no tumors or other signs of pancreatic cancer?

A member asked:

Hi doctor i recently had mri with and without contrast and mrcp and the results cameback normal should i still worry about pancreatic cancer?

A member asked:

Is an mrcp better than a ct scan in detecting pancreatic cancer?

A member asked:

If mrcp & ct scan with contrast were clear of pancreatic cancer, what are chances eus can find pancreatic cancer? are odds on my side with clear mrcp?

A member asked:

Floating stools sent me to gastro. fecal fat high 13g/24 hrs but fecal elastase >500. lost 5 pounds. 2 mris with contrast and mrcp reveal normal pancreas and normal caliber of duct. should i worry about pancreatic cancer as cause of high fecal fat?

A member asked:

Symptoms of pancreatic cancer?

A member asked:

How is pancreatic cancer diagnosed?

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