A 65-year-old man has a branch-duct IPMN measuring 2 cm in the pancreatic head. MRI shows no mural nodule and the main pancreatic duct is 4 mm. CA 19-...

Question

A 65-year-old man has a branch-duct IPMN measuring 2 cm in the pancreatic head. MRI shows no mural nodule and the main pancreatic duct is 4 mm. CA 19-9 is normal. According to the European evidence-based guidelines, what is the recommended management?

Accepted Answer

Surveillance with MRI; next scan in approximately 12 months

Answer

EUS-guided cyst ablation

Answer

No follow-up needed

Answer

CT angiography

Answer

Immediate surgical resection

uk-sce-gastroenterology MCQ (SBA): IPMN

A 65-year-old man has a branch-duct IPMN measuring 2 cm in the pancreatic head. MRI shows no mural nodule and the main pancreatic duct is 4 mm. CA 19-9 is normal. According to the European evidence-based guidelines, what is the recommended management?