Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Is ERCP Recommended To Evaluate Carcinoid In Liver
I am currently being treated for carcinoid which started in my colon with mets to liver. On the last MRI there appeared a 1.3cm nodule on the upper portion of the pancreas. Although it has not grown within 6mo. would you recommend an ERCP to evaluate/biopsy or keep it on the watchlist ? It s possible to do an octreotide scan but that would only rule out if it was an endocrine tumor.
I would definetely not put you to ERCP Infact, I would like to perform EUS and FNAC of the nodule detected on MRI scan. This would clinch the diagnosis. Octreotide scan would highly suggest an endocrine tumor but cannot confirm it ERCP is usually used to evaluate and/ or bile duct obstruction and pancreatitis
hope this would answer your question wish you speedy recovery
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Is ERCP Recommended To Evaluate Carcinoid In Liver
Good morning Sorry to hear about your ill health I would definetely not put you to ERCP Infact, I would like to perform EUS and FNAC of the nodule detected on MRI scan. This would clinch the diagnosis. Octreotide scan would highly suggest an endocrine tumor but cannot confirm it ERCP is usually used to evaluate and/ or bile duct obstruction and pancreatitis hope this would answer your question wish you speedy recovery