Biopsy of pancreatic mass showing cytomorphic findings with mucinous neoplasma with mild atypia. Is it pancreatic cancer? Treatment options?
Patient: Hi. My mom is 74 years old and the recent biopsy results of pancreatic head mass showed that cytomorphologic findings consistent with mucinous cystic neoplasma with mild atypia. Is this classified as pancreatic cancer? What procedure/s are recommended for this condition, taking into consideration her age? What is the success rate of people at this age surviving or recuperating well after such procedures? Hope you can elaborate. Doctor: Dear   What are no. of atypical cells/hpf. If more than 5 then it seems it is a Ca. T/t options at this age is  1) Surgery - if operable & GC / co-morbidities allow.  2) Con. CTRT  3) Chemotherapy only after seeing all records.  Actually, Ca. pancreas is usually diagnosed in locally advanced stages, in which case the cure rate is very less.  All the Best.