Neuroendocrine Tumors of Pancreas — Flashcards

Flashcard 1: Carcinomas situated in the _____ of the pancreas are usually larger than the head

Answer: body

Flashcard 2: Surgery is contraindicated in Stage _____ or T4 tumor of pancreas.

Answer: 3

Flashcard 3: The preferred method for tissue diagnosis of pancreatic carcinoma is _____-guided FNAC.

Answer: Endoscopic Ultrasound (EUS)

Flashcard 4: What is the treatment of choice for **Main duct** IPMNs of the pancreas?

Answer: Surgical resection (Pancreatectomy)

Extra: Main duct IPMNs (MD-IPMN) have a high risk of malignancy (60-90%) and should be resected in all fit patients. Branch duct IPMNs (BD-IPMN) are managed conservatively with surveillance unless 'high-risk stigmata' (e.g., obstructive jaundice, enhancing mural nodule ≥5 mm, main pancreatic duct ≥10 mm) are present.

Flashcard 5: Most common functional pancreatic islet tumor in MEN 1 syndrome?

Answer: Gastrinoma

Flashcard 6: What 7 structures are removed during a classic Whipple’s procedure (Pancreaticoduodenectomy)?

Answer: 1. Head of the pancreas 2. Duodenum 3. Gallbladder 4. Distal common bile duct 5. Distal stomach (Antrum) 6. Proximal jejunum 7. Regional lymph nodes

Flashcard 7: Surgery of choice for treatment of carcinoma of the body and tail of the pancreas is _____ along with splenectomy

Answer: distal pancreatectomy

Flashcard 8: Passaro's triangle (Gastrinoma triangle) is bounded by: - _____ duct junction - Junction of the 2nd and 3rd parts of the duodenum - Junction of the neck and body of the pancreas

Answer: Cystic

Flashcard 9: Surgery of choice for treatment of carcinoma of the head of the pancreas is _____ also known as Longmire-Traverso procedure.

Answer: pylorus-preserving pancreatoduodenectomy

Flashcard 10: Cyst fluid analysis in _____ will show a high CEA level and high level of cyst fluid amylase

Answer: IPMNs