Question

A 68-year-old man presents with painless obstructive jaundice. Imaging shows a mass in the head of the pancreas. According to NICE guidelines, which investigation is crucial for diagnosis and staging?

Accepted Answer

Endoscopic ultrasound (EUS) + biopsy

Answer

Endoscopic retrograde cholangiopancreatography (ERCP) alone

Answer

Magnetic resonance cholangiopancreatography (MRCP) only

Answer

Serum CA 19-9 level alone

Answer

Abdominal X-ray

Practice question

A 68-year-old man presents with painless obstructive jaundice. Imaging shows a mass in the head of the pancreas. According to NICE guidelines, which investigation is crucial for diagnosis and staging?