Dr. William M Steinberg: The 2 sides have been presented. We have read and relearned the differential diagnosis of pancreatic masses. Non-neoplastic masses caused by CP or AIP and certain neoplastic processes such as lymphoma do not require resection. However, percutaneous or EUS-guided biopsy is not perfectly sensitive and cannot always make the diagnosis. Would a negative biopsy prevent the need for surgery, which may not only be curative but palliative? Furthermore, biopsy carries a small but definite risk, which may retard or occasionally complicate subsequent surgery. The reader must make his or her own decision based on the accumulated wisdom presented and discussed in this Controversies section.
|Original language||English (US)|
|Number of pages||15|
|State||Published - Oct 1 2005|
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism