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Doctor insights on: Pancreatic Tail Lesion

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What causes small lesion in tail of pancreas?

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

Dr. Thomas Fiala
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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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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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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(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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Male, age 60; Symptoms: right flank pain + bloated abdomen CT abdomen says 1.3cm Hypervascular lesion on pancreas tail. More tests next week?

Male, age 60; Symptoms: right flank pain + bloated abdomen CT abdomen says 1.3cm Hypervascular lesion on pancreas tail. More tests next week?

F/U with your Doctor: This problem (a lesion on your pancreas) needs to be addressed in the office by a knowledgeable Dr. Their are too many possible issues for the internet to be the proper forum to resolve this issue. The lesion on the pancreas might not have anything to do with your bloated abdomen (or it could). Place your care in the hands of a physician you trust. ...Read more

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What is a spts tumor in the pancreas tail?

What is a spts tumor in the pancreas tail?

Unusual: This is a solid-pseudo-papillary tumor of the pancreas. This is a relatively rare tumor and usually benign in nature. It is usually cured with surgery. ...Read more

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Can you tell me about what to do about a cyst in the tail of the pancreas?

Can you tell me about what to do about a cyst in the tail of the pancreas?

Tail: I have to presume that some study was done to document a cyst at the tail of your pancreas.
Surely your doctor or the doctor who did the study would tell you what that meant.

If indeed you have not been told, ask for the answer and don't be shy. It is your body. ...Read more

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Cancer of the pancreas tail 12 cm, what to do?

Cancer of the pancreas tail 12 cm, what to do?

Resection: A 12 cm. Pancreatic cancer in tail region without metastasis very rare. Since these lesions asymptomatic unless bleeding from varices of greater curvature of stomach how was lesion discovered. If PET neg for metastasis then distal resection with spenectomy needed. More likely lesion is a cystadenoma or cytstadenocarcinoma which still needs resection. ...Read more

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When should you ask for an endoscopy ultrasound to see if something is wrong with the tail of the pancreas?

When should you ask for an endoscopy ultrasound to see if something is wrong with the tail of the pancreas?

Endoscopy: If you or your doctor has noticed abdominal discomfort you need a full physical exam, lab work, and likely imaging. If your doctor finds no issue on exam or no abnormal blood work, relax a bit and follow up regularly. ...Read more

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EUS found pancreatic tail duct dilated to 1.8mm with surrounding isoechoic changes. What can cause this?

EUS found pancreatic tail duct dilated to 1.8mm with surrounding isoechoic changes. What can cause this?

You: Should be followed by a Gastroenterologist who can interpret these findings...isoechogenicity means "same" "blending" The dilated duct needs explanation and may require Pancreatic duct study (done along with endoscopic evaluation)
Hope this helps!
Dr Z ...Read more

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12 days ago, removing tail of pancreas&spleen, today she has fever, twice, 39 grade C temp. Why? May change medicines? She take kreon, nipogalin 500mg, eselan

12 days ago, removing tail of pancreas&spleen, today she has fever, twice, 39 grade C temp. Why? May change medicines? She take kreon, nipogalin 500mg, eselan

Call surgeon now: You need to contact the surgeon immediately and pose this question since she may be having an infection or even pancreatitis. Hope our surgical colleagues can give you a better answer. I am answering this because I feel that this situation is urgent. ...Read more

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Could you have cancer on tail of pancreas with just ab and back pain or would it have to affect other organs to cause pain?

Could you have cancer on tail of pancreas with just ab and back pain or would it have to affect other organs to cause pain?

It varies a lot: Any persistent abdominal or back pain raises a question about Pancreatic Cancer in the middle aged folks. It does not have to spread outside of the pancreas in order to cause pain. I hope that answers your question. But a check up is a must if the pain lasts for more than 2 to 3 weeks. ...Read more

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in the walls of the stomac & in the tail of the pancreas a solid formation 12cm, a tumor. Can be a gist? Can be operated? What to do?

in the walls of the stomac & in the tail of the pancreas a solid formation 12cm, a tumor. Can be a gist? Can be operated? What to do?

Could be, need test: Gastrointestinal stromal tumors (GIST) are be either malignant or benign. However a 12 cm lesion is more likely to be malignant and needs additional testing including an endoscopy with ultrasound and biopsy (usually done by a gastroenterologist). Depending on pathology analysis, either Glevac can be used alone or with surgery. See a surgical oncologist if this is a malignant GIST. ...Read more

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What would symptoms be if I had advanced pancreatic cancer in the tail and is it possible to feel the tumor in the LLQ of my back?

What would symptoms be if I had advanced pancreatic cancer in the tail and is it possible to feel the tumor in the LLQ of my back?

Upper GI bleed: Tail of pancreas cancers rarely cause pain. Rather as they grow they obstruct the venous output from the spleen from blood feeding the spleen via the splenic artery. The spleen output is shifted to the vasa brevia of the greater curvature of the stomach where varices are formed and GI bleeding follows. Spread to other sites also noted early ie. Liver. ...Read more

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Pancreatic duct in tail is 1.8mm, the doc biopsied the tissue around it, but said there were no rumors. If there were no tumors, why the biopsy?

Pancreatic duct in tail is 1.8mm, the doc biopsied the tissue around it, but said there were no rumors. If there were no tumors, why the biopsy?

No reason: Slight dilatation of distal pancreatic duct of no significance especially in the absence of any discreet lesion. In situ Ca of pancreas begins in duct system and develops over a 15-20 yr period until an invasive lesion is seen. Slight duct problem could be due to narrowing of duct due to inflammation or rarely the in situ lesion. The only bx would be via ERCP with brushings of the duct. ...Read more

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Cure for pancreatic (chronic idiopathic). age 19.my duct is dilated at head tail body and abrupt cut in head as per MRCP. Are any other test needed? ?

Cure for pancreatic (chronic idiopathic). age 19.my duct is dilated at head tail body and abrupt cut in head as per MRCP. Are any other test needed? ?

MRCP best option: Whenever there is bile duct dilatation, the first priority is to look for obstruction (gallstones, strictures). If there is no obstruction, then we look for choledochal cyst, Caroli disease, or cholangitis. MRCP is a very powerful non-invasive tool in the evaluation of pancreato-biliary disease, and is the diagnostic modality of choice. ...Read more

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Hi im soon to be having an operation to remove my gallbladder as it is full of stones and making me very poorly. During an ultra sound scan a shadow was found on the tail end of my pancreas and liver. Iv only just turned 28 what could this be please?

Hi im soon to be having an operation to remove my gallbladder as it is full of stones and making me very poorly. During an ultra sound scan a shadow was found on the tail end of my pancreas and liver. Iv only just turned 28 what could this be please?

Not enough info: Without seeing the actual ultrasound or at least the ultrasound report, it would be difficult to figure out what is meant by a "shadow" in your pancreas or liver. It is possible that they could have meant that you have a stone in your bile duct, but your surgeon will be sure to check for that in the proper setting. If you have the report itself, consider a consult on HealthTap Prime or Concierge. ...Read more

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1.8mm dilation on tail of pancreas with surrounding isoechoic changes, biopsy was taken, waiting on results. Chances this is cancer?

1.8mm dilation on tail of pancreas with surrounding isoechoic changes, biopsy was taken, waiting on results. Chances this is cancer?

I feel your pain: I know waiting is the hardest thing, but you need more info. U/S is rarely the only test for the panc. (although iso echoic is good). We use contrast CT and esp. Contrast MRI to help. Of course tissue is the issue.
Absent a strong family history of panc. Ca, the odds are almost overwhelmingly in your favor at 40 yo.
I assume the 2 mm is the pancreatic duct, which can have normal variants. ...Read more

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Can 6mm pancreatic cyst be malignant? Can it cause symptoms? I have one in uncinate and one in tail. Symptoms of cancer - doc says can't be from cysts

Can 6mm pancreatic cyst be malignant? Can it cause symptoms? I have one in uncinate and one in tail. Symptoms of cancer - doc says can't be from cysts

Usually: There are no symptoms of pancreas cancer unless it is large enough to cause bile blockage, intestinal blockage, or pains. Two tiny 6 mm cysts are likely nothing except an incidental radiology finding get an opinion from a GI specialist or go to a major medical center for specialized endoscopic ultrasound testing, etc. ...Read more

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If pancreatic cancer in body or tail is causing symptoms, would it show up on a iv contrast ct scan?

If pancreatic cancer in body or tail is causing symptoms, would it show up on a iv contrast ct scan?

Yes it would: CT scan of the abdomen is a reliable to test to check for Cancer of the Pancreas. So you do not have to think too much about this as a source of your symptoms. Go see a Gastroenterologist if symptoms persist for more than a week or two. ...Read more

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Fell 3/23 hurt chest did CT Scan which showed 5 &6th rib fractured. It also showed subtle hypordensity in tail of pancreas. What does this mean?

Fell 3/23 hurt chest did CT Scan which showed 5 &6th rib fractured. It also showed subtle hypordensity in tail of pancreas. What does this mean?

Probably nothing: Would recommend a follow up CT in 6 to 12 months to look for any changes. Could be a cyst in the pancreas which is fairly common, especially if you have had pancreatitis, could be an enlarged duct in the pancreas, could be what we call an artifact (seeing something that isn't really there at all). Very rarely cancer can look like a cyst, that's why the follow up scan. Very unlikely, but possible. ...Read more

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Age 19.mrcp shows pancreatic duct head body tail dilated, abrupt cut in head region, branches & tail narrowing, duct 6mm. DOC on this site said hve cancer?

Possible: (MRCP) an exam uses magnetic resonance imaging to visualize the biliary and pancreatic ducts in a non-invasive manner. It is used to determine if gallstones are lodged in any of the ducts. If narrowing of the duct in the head is present one can suspect an intraductal lesion which has not yet converted to invasiveness and produced painless jaundice of pancreatic Ca. Duct brushings by ERCP needed. ...Read more

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In the ct chest :mild to moderate pancreatic atrophy with punctate calcification in the region of pancreatic tail do I need more test im 50 y?

In the ct chest :mild to moderate pancreatic atrophy with punctate calcification in the region of pancreatic tail do I need more test im 50 y?

Depends: On your medical history and clinical condition, although that was an incidental finding, your doctor / the doctor who ordered the the study would be the best to judge, best wishes ...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 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

Dr. Scott Bolhack
802 Doctors shared insights

Wounds (Definition)

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