Pancreatic Cystic Neoplasm

Dr. Vivek Mangla

MBBS, MS(MAMC), FAIS, MCh (AIIMS), FACRSI (Gold Medallist), FAIS

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Pancreatic Cystic Neoplasm — Expert Care with Dr. Vivek Mangla


What is a Pancreatic Cystic Neoplasm?

A pancreatic cystic neoplasm is a fluid-filled growth or lesion in the pancreas. These cysts can be benign (non-cancerous), premalignant (changes that may lead to cancer), or sometimes obviously malignant. There are various subtypes, like mucinous cystic neoplasms (MCNs), intraductal papillary mucinous neoplasms (IPMNs), serous cystadenomas, and some other uncommon variants. Although many pancreatic cysts remain stable and harmless, some carry significant risk of transforming into pancreatic cancer. Not every cystic neoplasm needs surgery; early and accurate diagnosis and appropriate treatment are essential.

Signs & Symptoms

Many pancreatic cysts are discovered incidentally on imaging for other reasons, since they may not cause symptoms early on. When symptoms are present, they can include:

  • Abdominal pain or discomfort, often in upper abdomen
  • Nausea or vomiting
  • Unexplained weight loss
  • Jaundice (yellowing of skin or eyes) if cyst blocks bile duct
  • Pancreatitis or recurrent inflammation of pancreas

How Are Pancreatic Cystic Neoplasms Diagnosed?

Diagnosing a pancreatic cystic neoplasm typically involves:

  • Imaging studies such as CT scan, MRI, or MRCP to define size, internal characteristics (solid components, nodules), duct involvement
  • Endoscopic ultrasound (EUS) allows closer visualization, sometimes with fine-needle aspiration (FNA) to sample cyst fluid when needed
  • Fluid analysis: Looking at markers like mucin, CEA (carcinoembryonic antigen), and cytology to assess risk of malignancy

Treatment Options

Treatment depends on multiple factors, including the type of cyst, symptoms, size of pancreatic cystic neoplasm, suspicion of malignancy, patient health, and patient preference. Options include:

  • Surveillance: Regular imaging if cyst is small, asymptomatic, and features suggest low risk
  • Surgical removal: If there is high suspicion of cancer, presence of concerning features (nodules, solid parts, rapid growth), or symptoms, surgery is recommended
  • Minimally invasive surgery: Laparoscopic or robotic techniques reduce morbidity and speed recovery, when feasible

Why Choose Dr. Vivek Mangla?

Dr. Vivek Mangla is a leading expert in Gastrointestinal, HPB surgery andHepato-Pancreato­Biliary (HPB) Surgical Oncology with over 20 years of specialized experience in pancreas surgery among many GI cancers. (Dr. Vivek Mangla)

His credentials include:

  • MCh (GI Surgery) from All India Institute of Medical Sciences, New Delhi (MediGence)
  • Fellowships from high-volume centres in laparoscopic, robotic surgery and advanced HPB surgery. (Dr. Vivek Mangla)
  • Extensive experience with complex pancreatic diseases—benign and malignant—including pancreatic cystic neoplasms. (Dr. Vivek Mangla)

Dr. Mangla’s approach is patient-centric: careful diagnostics, use of minimally invasive techniques where possible, preserving function, and tailoring treatment to individual risk profiles.

What to Expect at Your First Consultation

When you visit Dr. Vivek Mangla for a pancreatic cyst, the team would

  • Review your medical history and symptoms
  • Examination of existing imaging (CT/MRI) or ordering imaging if needed
  • Possibly scheduling endoscopic ultrasound + fluid tests if needed
  • Risk assessment: what type of cyst, likelihood of malignancy, patient’s overall health
  • Discussion of options: Surveillance vs surgery, and what surgical approach is best if surgery is needed
  • Follow-up plan: Whether scheduled monitoring or post-operative care

Frequently Asked Questions (FAQs)

Is every pancreatic cyst dangerous?

No. Many are benign or low risk. The danger increases with certain features (e.g. solid nodules, rapid growth, size over certain thresholds) or types like MCN or IPMN.

What surgical risks are involved?

As for any pancreatic surgery: bleeding, infection, pancreatic leak, delayed gastric emptying, etc. But with highly experienced surgeons like Dr. Mangla, using minimally invasive and advanced techniques, risks are reduced and recovery optimized.

Will I have a long hospital stay or long recovery?

That depends on the type of surgery. Minimally invasive surgeries (laparoscopic or robotic) often lead to shorter hospital stays and quicker return to normal life.

Take the Next Step

If you or someone you know has been diagnosed with a pancreatic cystic lesion, or if incidental imaging has raised questions, don’t wait. With Dr. Vivek Mangla’s advanced expertise in pancreatic diseases in Delhi NCR, you can receive:

  • Precise diagnosis
  • Individualized care plan
  • Access to cutting-edge surgical techniques
  • Post-treatment monitoring and support

Book your appointment today: reach out to P Dr. Vivek Mangla at Max Hospitals, Patparganj & Vaishali, Delhi NCR.

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