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Scared I may have pancreatic cancer

Posted by stacyo77 @stacyo77, May 30 7:58am

I wanted to see if anyone has any insight to my MRI report Had a lesion of 1.7 seen on a scan back in 2013/14 and never followed up until because i was miss informed following splenic artery aneurysm repair. I will post more to back story but am looking for insight on MRI results I just got back.
EXAM: 3T MRI ABDOMEN AND MRCP WITHOUT AND WITH CONTRAST

HISTORY: - Disease of pancreas, unspecified
- Epigastric pain
- Nausea with vomiting, unspecified

TECHNIQUE: T1W, T2W and/or fat suppression axial, sagittal, and/or coronal sections before and after IV contrast were obtained. 18 ml of Clariscan was injected. An MRCP with multiple radial images was performed. No apparent complications were reported to the radiologist. In addition, dynamic multiphase contrast enhancement of the abdomen was performed. 3-D MIP imaging was also obtained.

COMPARISON: No comparison studies available.

FINDINGS:

Gallbladder & biliary: Gallbladder sludge. No wall thickening or pericholecystic fluid. The common bile duct and intrahepatic bile ducts appear unremarkable.

Liver: The liver is enlarged measuring 19.6 cm in length. The liver demonstrates signal drop on out of phase imaging consistent with steatosis. No suspicious solid masses are seen.

Spleen: The spleen is normal in size and appearance.

Pancreas: The pancreas demonstrates normal intrinsic T1 signal, however there is a subtle contour irregularity and delayed enhancement within the anterior pancreatic tail as well as within the pancreatic tail at the splenic hilum best appreciated on postcontrast series 17, images 41 and 38. There is subtle associated decreased T2 signal within these regions with associated narrowing of the distal main pancreatic duct. No peripancreatic fluid or stranding.

Adrenal glands: The adrenal glands are normal in appearance.

Kidneys & ureters: The kidneys are symmetrical in size and appearance. No hydroureteronephrosis. No suspicious solid mass.

Stomach & bowel: The stomach appears unremarkable. No dilated loops of bowel.

Peritoneum, retroperitoneum, & mesentery: There are scattered small normal-sized mesenteric and retroperitoneal lymph nodes. No free fluid.

Vascular: Aorta is normal in caliber.

Musculoskeletal: Normal bone marrow signal intensity.

IMPRESSION:

1. Findings concerning for subtle splenic tail mass. Correlate with tumor markers. Recommend EUS/FNA.
2. Hepatomegaly with hepatic steatosis. Gallbladder sludge.

Thank you for the opportunity to participate in the care of this patient.

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stacyo77 | @stacyo77 | Jun 2 9:43am
In reply to @sheridanb "If you haven't already had one, get a CA19-9 blood test that can show evidence of..." + (show)
Profile picture for sheridanb @sheridanb

If you haven't already had one, get a CA19-9 blood test that can show evidence of pancreatic cancer. My husband was misdiagnosed with lung cancer. About 6 months later (with a new oncologist) the blood test was ordered and that was very definitive that it was pancreatic cancer so of course the chemo for lung cancer had not been helping him. Just an easy blood test. Please get one. Normal numbers I think are below 35. My husband's were something like 39000.

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@sheridanb she is ordering g that. thank you 🙏

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56pan | @56pan | Jun 2 11:13am
In reply to @stacyo77 "@sheridanb she is ordering g that. thank you 🙏" + (show)
Profile picture for stacyo77 @stacyo77

@sheridanb she is ordering g that. thank you 🙏

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@stacyo77 Your oncologist likely is aware of this, but in acinar cell pancreatic cancer, CA19-9 levels are not normally elevated. PACC is very rare however.

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deanhobart | @deanhobart | Jun 12 1:33pm
In reply to @sheridanb "If you haven't already had one, get a CA19-9 blood test that can show evidence of..." + (show)
Profile picture for sheridanb @sheridanb

If you haven't already had one, get a CA19-9 blood test that can show evidence of pancreatic cancer. My husband was misdiagnosed with lung cancer. About 6 months later (with a new oncologist) the blood test was ordered and that was very definitive that it was pancreatic cancer so of course the chemo for lung cancer had not been helping him. Just an easy blood test. Please get one. Normal numbers I think are below 35. My husband's were something like 39000.

Jump to this post

@sheridanb be aware that CA-19 test is not a "test" for pancreatic cancer. You can have a high level without pancreatic cancer or you can have a low level with pancreatic cancer. Most people with pancreatic cancer do have a high level, and they do use it to monitor condition, but by itself it is not conclusive. There are typically other symptoms involved and/or visible tumor for biopsy .

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Colleen Young, Connect Director | @colleenyoung | Jun 12 5:49pm
In reply to @stacyo77 "@demooretucson looking to see what is close to me. I have appt with GI doctor to..." + (show)
Profile picture for stacyo77 @stacyo77

@demooretucson looking to see what is close to me. I have appt with GI doctor to go over the scan on Friday. Thank you for your help.

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@stacyo77, how are you doing? Any update after your visit with the doctor to review the scan and other test results?

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mcharlesfrancis | @mcharlesfrancis | Jun 13 8:02am

One thing that stands out is your mention of a 1.7 cm lesion seen back in 2013/2014. If that lesion is the same area being seen now, knowing whether it has changed in size over more than a decade would be extremely important. Many pancreatic cancers would not remain subtle and relatively unchanged over 10–12 years. That is why obtaining and comparing the old scans could be very valuable.

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