Question

A 65-year-old woman presents with new-onset painless jaundice, pruritus, and dark urine. CT scan reveals a mass in the head of the pancreas with dilation of the common bile duct. What is the most appropriate next step in management?

Accepted Answer

Endoscopic retrograde cholangiopancreatography with stent placement and tissue diagnosis

Answer

Observation and repeat imaging in 3 months

Answer

Immediate pancreaticoduodenectomy without staging

Answer

Percutaneous liver biopsy

Answer

Antibiotics for presumed cholangitis only

Practice question

A 65-year-old woman presents with new-onset painless jaundice, pruritus, and dark urine. CT scan reveals a mass in the head of the pancreas with dilation of the common bile duct. What is the most appropriate next step in management?