Q) All about MCN of pancreas are true except?
1.Presence of eggshell calcification in CT is suggestive of malignancy
2.cyst fluid analysis can diagnose accurately in 80%
3.invasive MCN is very aggressive with 30% 5YR Survival compared to adeno carcinoma
4. If MCN is non invasive, surgery is curative
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Q ) Not a component of Whipple triad a) Symptoms f hypoglycemia after fasting b) Plasma Insulin more than 100 mIU/l c) Plasma glucose less than 2.8 mmol/l d) Relief of symptoms after IV glucose' Q) Pigmented lesion suspicious melanoma of size 1cm with ulceration and features of ABCD, Answer in Q 44 Whipple triad
Melanoma
next step
A. Wide Local Excision with 1cm margin
B. Excision biopsy with 1-2mm margin
C. Punch biopsy at the edge of the lesion
D. Incisional biopsy