Brief Answer:
Non-repsonding Jaundice /Under Evaluation

Detailed Answer:
Brief Ans-Non-responding Jaundice -with Mass in Head Pancrease With CBD/ MPD infiltration /Under Evaluation

Hi Dear,Thanks for your query to HCM.
Read and reviewed the facts of query and reviewed them in context to your updated USG scan / LFT/ and CT Abdomen Report.
Based on the facts of your query,sudden presentation of Jaundice, non-responding to medicines has indicated grave situation already clinically.
This situation is lately confirmed by USG/BLOOD tests.
And is now re-confirmed to be grave with CT reporting,as the critical situation requiring Planned Surgical procedure to relieve the Obstructive Jaundice

Your aunty would need a major surgical procedure(?Pancreatico-Duodenectomy with CBD(Common Bile Duct) and Gall Bladder-Called as Whipples Operation) ,after stabilizing her disturbed liver and general condition.
Surgery and its outcome would depend how the patient responds to the stress of this Major surgical Procedure.

Hope this detailed reply is to educate you,so as to plan further needful treatment with your doctors there, as fast as possible.

Welcome for any further query in this regard.
Keep Me updated if you need more help.

Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Pancreatic Head Tumor with obstructed CBD with Jaundice/Under Assessment

Detailed Answer:
Brief-Ans-Pancreatic Head Tumor with obstructed CBD with Jaundice/Under Assessment

My Impression of your case-

Hi Dear,Thanks for your updated query.
Reviewed your query facts with the Multislice CT reporting in context to the operability and resectability of the Pancreatic Malignant tumour in your case.


-Operate or not to operate-? Decide on the operability of Tumour in Your aunt's case-
Dear,Staging for the resectability needs to be done before any decision is taken about the operative treatment of your case.
AS the resectability of pancreatic head tumor in your case is yet to be assessed,which is the function of the attending CT radiologists.

-Reduce Jaundice to Improve Post-Surgical OUTCOME-
Along with supportive treatment with Medicines, Decompression of the obstructed CBD(Common Bile Duct) and Biliary Duct System is needed to Improve General Condition and reducing the intra and post-operative risks to your Aunty.
Hence Pre-Surgical ERCP Stenting needs to be done prior to further treatment in your aunt's case.

My Impression on Operability of your Case-
-You and your CT radiologist and operating Surgeon Team has to decide first on the resectability of the Pancreatic tumor which is 2.6 cm x 2.8 cm size.
As the portal veins and arteries are not infiltrated chances of your aunty
undergoing Whipple have increased.
-Survival without surgical treatment can be increased with neoadjuvant Chemo radiotherapy with ongoing Chemo treatment.
This would increase the operability ,in 22% of the operable cases of the total number of Pancreatic Head Tumor Patients,and so in your aunt's case.
Whether your aunty fits in that 20% or not will be decided by the expert doctors attending to her.

Prima Facie-
There is a chance of operability in your case and you should work with your doctors to aim for that.
Palliative care with ERCP stenting is the option after that if it is found non-operable

Hope this reply would give you way out to plan further treatment in your aunty's case.
Keep Me updated if need be.

Welcome with any further query in this regard,Which I would love to reply for your satisfaction.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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