This is Dr. David
I am a cancer doctor.
many, if not most, branch duct IPMNs are harmless and the risks associated with surgery may outweigh the benefits of resecting small branch duct IPMNs
if you are asymptomatic from this lesion and it is smaller than 3cm and there is no ductal dilitation, then you don't have to undergo surgery to have it removed.
unfortunately, some resected branch duct IPMNs that are less than 3 cm have been found to have cancer, so the guidelines do not perfectly distinguish patients with benign or malignant disease.
biopsy or aspiration doesn't always help get information.
if there are worrisome signs on the most recent MRI scans from Nov, then surgery should be considered.
you should ask your doctor for a copy of the MRI scan report from November.
I would be happy to review it with you
let me know if you have other questions.
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