Question 1

can an good abdominal/pelvis mri diagnose stomach and/or pancreatic cancer well?

Accepted Answer

Analysis: A test, image, biopsy, examination, x-ray, MRI, CT Scan, etc., does not diagnose. Diagnostic aids provide information so that a health care practitioner can diagnose based on the aggregate of information.

Question 2

are mri reliable for detecting pancreatic. cancer because i recently had one and i dont feel very reassured ?

Accepted Answer

Do not worry: It is very rare for a 19 year-old to have pancreatic cancer and if an MRI did not show it, there is no reason to worry about it.

Question 3

can they distinquish the differenece between chronic pancreatits and pancreatic  cancer on mri?

Accepted Answer

Tissue for diagnosis: Mri can give anatomic detail that will guide your health care team in making an opinion about pancreatic cancer. A piece of tissue from your pancreas, obtained at an endoscopic biopsy, or ct guided biopsy or surgery will give the pathologist the tissue needed for examination under the microscope. The pathologist makes the diagnosis with a sample of tissue.

Question 4

hi doctor can mri detect pancreatic cancer early?

Accepted Answer

Yes: it's quite possible.  I had a patient with abdominal pain who incidentally had a CT done, indicating a pancreatic mass, and follow up MRI confirmed the mass, prompting a further assessment with an endoscopic ultrasound and fine needle aspiration.  So it's possible.  But at 19, you're less likely to have pancreatic cancer.

Question 5

could an mrcp mri miss pancreatic and /or liver cancer?

Accepted Answer

Highly unlikely: That said there is never a never or an always in medicine.  Given your age doubtful

Question 6

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 7

if someone has pancreatic cancer and an mri was done that showed a new tumor (liver) does this mean it is always cancerous? does a biopsy make sense?

Accepted Answer

Maybe: Every lesion seen doesn't mean its cancer. A biopsy would make sense if you would do something different with either a positive, negative, or non-diagnostic result. If there would be nothing different done in terms if treatment, life planning, etc., twgardless of the result, them don't do it. Hope this helps!

Question 8

whats better for diagnosing pancreatic cancer.... ct scan or mri? i've had normal ultrasound and ct scan with contrast. still worried.

Accepted Answer

Why worry: In answer to your question, i don't believe an MRI has any advantage over ct for pancreas lesions.  You've had a normal u/s and a normal ct, so why are you concerned about a process that is rarely seen in folks your age? If a lesion is seen on ct, the best test for evaluation is an endoscopic ultrasound with biopsy.  Don't waste your life worried about what could develop.. Good luck.

Question 9

whats better for diagnosing pancreatic cancer? ct scan or mri? 34yr male. i've had normal ultrasound and ct scan with contrast. still worried.

Accepted Answer

CT, ERCP, MRCP: Thin-slice (3 mm) ct abdomen yields fine detail of pancreatic structures...  Blood tests including tumor markers: ca-19-9, ca-15-3, and CEA can alert the clinician for ca.  Also, ERCP w/ ductal brushings (though its endoscopy) can search for malignancy.  Finally, mrcp may add to the clinical picture, but 64-bit ct is slowly encroaching on the former's superiority.

Question 10

possible to have pancreatic cancer not show on ct mri & eus? symptoms for a year but scans & ca19-9 negative. only 6mm simple cysts seen (no biopsy).

Accepted Answer

Possible: Possible but seems very unlikely at this point.  A biopsy may give you an answer and peace of mind.

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Doctor answers about:

Mri and pancreatic cancer

A member asked:

Can an good abdominal/pelvis mri diagnose stomach and/or pancreatic cancer well?

A member asked:

Are mri reliable for detecting pancreatic. cancer because i recently had one and i dont feel very reassured ?

A member asked:

Can they distinquish the differenece between chronic pancreatits and pancreatic cancer on mri?

A member asked:

Hi doctor can mri detect pancreatic cancer early?

A member asked:

Could an mrcp mri miss pancreatic and /or liver 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:

If someone has pancreatic cancer and an mri was done that showed a new tumor (liver) does this mean it is always cancerous? does a biopsy make sense?

A member asked:

Whats better for diagnosing pancreatic cancer.... ct scan or mri? i've had normal ultrasound and ct scan with contrast. still worried.

A member asked:

Whats better for diagnosing pancreatic cancer? ct scan or mri? 34yr male. i've had normal ultrasound and ct scan with contrast. still worried.

A member asked:

Possible to have pancreatic cancer not show on ct mri & eus? symptoms for a year but scans & ca19-9 negative. only 6mm simple cysts seen (no biopsy).

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