Approach to pancreatic masses Quiz: Ace Your Exams
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A patient presents to the primary care office for follow-up of bloodwork and imaging that was recently performed. Bloodwork results are shown below. CT imaging with pancreatic protocol demonstrates a well-defined 2 cm solid mass in the head of the pancreas that is hypervascular during the arterial phase and is not associated with biliary ductal dilation. Which of the following patients is most likely to have these laboratory and imaging findings?
| Laboratory Test | Results | Reference Ranges |
| Hemoglobin | 10.2 g/dL | Female: 12-16 g/dL; Male: 13.5-17.5 g/dL |
| Complete metabolic panel | Within normal limits | Within normal limits |
| Lipase | 42 U/L | 0-160 U/L |
| CEA | 0.3 ng/mL | 0-2.9 ng/mL |
| CA 19-9 | 12 U/mL | 0-37 U/mL |
| Fecal occult blood | Positive | Negative |
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