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Doctor insights on: Pancreatic Lesion

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I had blood work done due to 1.4 cm pancreatic lesion. A/G ratio is 0.9 low and amylase 24 low. What could it mean?

I had blood work done due to 1.4 cm pancreatic lesion. A/G ratio is 0.9 low and amylase 24 low. What could it mean?

Lab values: A low amylase has no clinical significance. Reasons for a low A/G ratio include hypoalbuminemia and hypergammaglobulinemia. But the lesion needs follow up, first with MRCP and then endoscopic ultrasound with possible fine needle aspiration. ...Read more

Dr. Tanya Russo
3 doctors shared insights

Pancreas (Definition)

Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more


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What does a pancreatic neck echogenic lesion mean?

What does a pancreatic neck echogenic lesion mean?

Needs evaluation.: A reading of an ultrasound saying that you have an echogenic lesion simply means that there is an area of the pancreas that reflects ultrasound differently than the rest of it. It may turn out to be unimportant, but it is certainly something that you should have your doctor evaluate. Further testing may be necessary. Good luck. ...Read more

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GB removed in oct. Days ago, MRI showed "tiny punctate cystic lesion in pancreatic tail." What could cause this? I have no history of pancreatitis.

GB removed in oct. Days ago, MRI showed "tiny punctate cystic lesion in pancreatic tail." What could cause this? I have no history of pancreatitis.

Unknown: Small cyst in the pancreas are not usually dangerous. Etiology is unknown. Not in anyway related to gall bladder surgery or prior pancreatitis . We follow such pancreatic cyst. Do nothing unless they reach 30 mm in diameter. ...Read more

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I've had two ultrasounds done now and both times they have found a hyperechoic pancreas lesion measuring at 5 mm. Should I be concerned?

I've had two ultrasounds done now and both times they have found a hyperechoic pancreas lesion measuring at 5 mm. Should I be concerned?

Concerned: Yes, until the doctors checked your ultrasounds and a hyper-echoic pancreas a second time, it is OK to contact your doctor and insist on more specific information and advice. Hope all goes well - please keep me posted. ...Read more

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What causes small lesion in tail of pancreas?

The most important: cause would be Pancreatic Cancer however pancreatic cysts can cause small lesions....this finding NEEDS to be explained since when cancer is picked up "early" in the tail" of the organ CURE can be achieved by early surgery! Hope this helps! DrZ ...Read more

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Is a lesion a lump and a node all the same thing? I have been told I have s lump on my pancreas, a lesion and a node. I'm confused.

Is a lesion a lump and a node all the same thing? I have been told I have s lump on my pancreas, a lesion and a node. I'm confused.

No: A node is a part of your lymphatic system (deals with infections or inflammation) and is usually not palpable or visible unless there is something wrong. A lesion is something that should not be there. A "lump" on the pancreas can be a very serious thing and wold discuss with your GP or whoever ordered the scan for more clarification of what it might be. ...Read more

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There is a lesion my pancreas found during sono of abdomen. I have large 3.6cm gallstone. Is this related?

There is a lesion my pancreas found during sono of abdomen.  I have large 3.6cm gallstone.  Is this related?

May not be related : Any lesion on pancreas needs serious investigation , speak to your doctor will do additional test to find the nature of that lesion. ...Read more

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What is, or could be, a 1cm possible cystic lesion on head of pancreas verses dilated distal common duct? Should i be worried?

What is, or could be, a 1cm possible cystic lesion on head of pancreas verses dilated distal common duct? Should i be worried?

At your age, no: Lesions on the pancreas can be serious, but in young people are usually not. It may be a cyst or may be a dilated common bile duct due to an obstruction such as a gallstone. You should not be too worried, but you do need to get it further evaluated, usually with an endoscopic ultrasound exam or a repeat scan. ...Read more

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A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous fibroscopy?operated?

A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous  fibroscopy?operated?

Cystadenoma: This size lesion expanding to stomach can not be the classic adenoCa. It is probably an islet cell neoplasm or more likely cystadenoma. Since the latter almost always converts to carcinoma, resection of distal pancreas, spenectomy since splenic vein always involved and partial gastectomy must be performed. Laparotomy should be used and depending on path, chemo may be needed PO. ...Read more

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28/f.MRI for other purpose, showed a "tiny punctate cystic lesion in the pancreatic tail." Really no detail. Have to wait for dr appoint. Suggestions?

28/f.MRI for other purpose, showed a "tiny punctate cystic lesion in the pancreatic tail." Really no detail. Have to wait for dr appoint. Suggestions?

Watch carefully: A tiny punctate cystic lesion in tail of pancreas probably is benign. Most cystic lesions will grow and be evaluated by aspiration and analysis of fluid by CEA and CA19.9. If quesionable an ERCP amd duct brushing can be performed for cytology. Otherwise re examination by MRI in 4 mo to see if growth occurs. ...Read more

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Elevated levels of lipase and amylase, mrcp no pancreatic inflammation, but did show a liver lesion. Also have UC. What is happening??

Still gallbladder?: if not drinking much alcohol?[4-6 oz /day of wine , 12 oz beer or 1.5 oz whiskey or vodka ] then be sure not taking anything that could harm the pancreas , see side effects /warnings on each medicine. still could be some type of gallbladder/stone issue along the common bile duct or flair of uc, see a g.i. dr. for further tests and no smoking ever, this can cause cancer even of pancrease (pancrelipase). ...Read more

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Pain & pale fatty/oily stools. 2 pancreas protocol CTs 3 mos apart show No lesion or duct dilatation noted. Is this enough to be reasonably reassured?

Re pancreas probably: Other issues at play here. Gallbladder issues, bowel malabsorption issues, along with several other possible causes. Please keep working with your digestive (GI) specialist to determine the cause and appropriate treatment for your symptoms. Hope this was helpful. Best of luck. Dr R ...Read more

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(on CT scan)" 4mm hypoechoic lesion -tail of pancreas-follow-up 1 yr. With mri" how bad is this?

(on CT scan)" 4mm hypoechoic lesion -tail of pancreas-follow-up 1 yr. With mri"  how bad is this?

Lesion pancreas: The lesion you describe does suggest a cyst these do occur in pancreas kidney and liver. Pancreas malignancy is a very bad responder as a general rule as well as fast growing tumor. I would prefer surgical consultation and sooner follow up. There are oncologist surgeons who have dedicated a large part of there lives to this cancer including dr. Cameron at johns hopkins. ...Read more

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Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

See GI doctor: Its not clear whether you have pain / pancreatitis or how high your levels are. There's a lot of causes of pancreatitis including medicational side effect but it is best to have a GI doctor review your labs / imaging first. ...Read more

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3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

May or may not be: It takes time and follow up CT scans to see if these tumors are growing in size. if they are not tumors(cancer) it will remain unchanged in size over a period of 3-6 months. A biopsy may be required to confirm it in case these lesions are increasing in size(growing bigger). They are too small to do a biopsy now, need to be at least 1Cm or bigger. ...Read more

Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more