Question 333 · LEK · Pancreatic cancer
A 68-year-old male presents at the outpatient unit due to jaundice, dark urine, skin itching, and 8 kg weight loss over 2 months. He also complains of epigastric pain radiating to his back. Laboratory tests revealed elevated total bilirubin and cholestatic enzymes levels. Abdominal CT revealed a tumour in the head of the pancreas of 3.5 cm in diameter without distant metastases. Indicate the appropriate management: 113 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- A. immediate chemotherapy followed by radiotherapy to the pancreatic-duodenal field.
- B. urgent endoscopic stenting of the main bile duct, followed by consideration of surgical resection (Whipple procedure).
- C. initiation of conservative treatment including antibiotics, painkillers, and nutrition.
- D. initiation of immunotherapy supplemented with somatostatin analogues.
- E. further observation and CT follow-up every 3 months.
Hint
The tumour is localised and potentially curable, and the patient is jaundiced; think of relieving obstruction and of the only curative treatment.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Oncology
- A 58-year-old male presents at the outpatient unit due to focal lesion of 3 cm in diameter in the left liver lobe, accidentally detected during…
- A 61-year-old male presents at the outpatient unit due to gradually worsening difficulty swallowing, initially solids, then also liquids…
- A 35-year-old woman presents at the endocrinology clinic due to a thyroid tumour. Ultrasound revealed a solid, hypoechoic tumour with uneven outline…
- A 72-year-old male attends a doctor due to weakness, weight loss of about 8 kg over 3 months, and recurrent abdominal pain. In history: alternating…
- A 65-year-old male presents at the Emergency Department due to 10 kg weight loss over 3 months, loss of appetite, and fullness sensation after small…
- Which of the following methods is not used in palliative treatment of patients with oesophageal cancer: