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Dear David- I have pancreatic cysts. One was growing rapidly. Two doctors wanted me to have an endoscopy to see if it was cancer.I didn’t want an invasive endoscopy. They are risky. Finally one doctor suggested that
I wait 6 months, and if an MRI showed cyst was still growing, go ahead with the endoscopy.
At that point, I radically altered my diet. No more sugar. I started taking things like bitter melon extract with water, raw garlic and probiotics. 6 months later, the MRI showed that the cyst had stopped growing.
The doctor was shocked, and said that I didn’t have to have another MRI for a year.
Then, his office called and said that he still wanted the endoscopy. supposedly there were tiny (I cant remember the name) growths that may indicate cancer. Altho they are common on cysts.
I resisted, and once again, they reluctantly gave 6 more months, then an MRI.
I really do not want any kind of invasive surgery or chemo.
Do you have any thoughts on this issue?
Thanks greatly for running such a good website.
“Do pancreatic cysts become cancerous?
Most cysts are not – less than 1-2 percent of pancreatic cysts are cancerous. However, some may be considered precancerous.
What does it mean if a pancreatic cyst is precancerous?
A precancerous pancreatic cyst is a benign tumor that has the potential to progress to pancreatic cancer over the course of years.
What should you do if you have a pancreatic cyst?
It is critical that patients with pancreatic cysts seek out clinicians who have extensive experience with pancreatic tumors and pancreatic pathology. The clinician will look at certain features in each cyst, such as the size and the presence of any solid components. They will also take into consideration the cysts’ growth rate over years when making a decision on whether surgery is needed.
How should these cysts be treated?
Most pancreatic cysts are not treated. In fact, patients may be at an increased risk for overtreatment at this condition. For the vast majority, proper treatment is continued observation by an experienced clinician. For some patients, surgery may be recommended after monitoring the cysts with a CT scan, MRI or endoscopic ultrasound. Often the cysts can be removed through a minimally invasive surgical approach.
“Can analysis of the fluid within a pancreatic cyst help decisions regarding whether an intraductal papillary mucinous neoplasm (IPMN) is likely to be malignant? A multicenter study, published in Annals of Surgery , was based on 149 operated patients stratified by clinical, radiographic, and pathologic findings into a high-risk group where high-grade dysplasia or invasive cancer was present (n = 60) or a low-risk group (n = 89).