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risk and action for 12 mm side branch IPMN in 19 year old
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Cancer Care
Question #16806
5 days ago
56

risk and action for 12 mm side branch IPMN in 19 year old - #16806

Ash

I have a 12 mm side branch IPMN and i’m 19.My doctor said i get a scan every six months and all she said about it was it’s just a cyst. my family and friends told me to forget about it it’s no big deal but after doing my own research im freaking out about this and i am worried. Many people online and different websites were giving their horror stories about loved ones who have died from this and also nobody i saw was even close to my age! my doctor was acting like this is super common and didn’t even mention the word cancer so i’m really confused. i even saw someone online say “im not gonna sit around and wait for this to become cancer” i just want to know if this really is something super dangerous and i need to start really thinking about it and accepting that i will probably have cancer one day.

Age: 19
Chronic illnesses: none
Pancreas
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
5 days ago
5

Hello ,

Small, simple side-branch IPMNs are usually harmless and rarely become cancerous.

Also,19-year-olds almost never get pancreatic cancer from IPMN.

👍The plan your doctor gave (scan every 6 months) is the standard of care

This is not “waiting for cancer.” This is routine monitoring, exactly like checking a benign mole.

👍You are not in danger right now. You are not a cancer patient. You are not a future cancer patient. You are someone with a small cyst that needs routine checkups.

🛑Just follow the routine check up properly and enjoy your life.

If this was dangerous,you would have been referred to a surgeon for surgery.

You are truly safe👍

Feel free to talk Thank you

347 answered questions
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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
5 days ago
5

Hello Ash By going through your history and evaluation of your health status I must say that nothing to Worry about it. It’s completely understandable to feel anxious about a diagnosis like an IPMN (intraductal papillary mucinous neoplasm), especially when you come across alarming information online. Here’s some clarity on the situation: Understanding IPMN: - What It Is: IPMN is a type of cystic lesion in the pancreas. While some IPMNs can progress to cancer, many remain benign and do not cause any issues. - Size Matters:A 12 mm IPMN is relatively small, and your doctor’s recommendation for regular scans every six months is a common approach to monitor it.

Why Your Doctor May Not Be Concerned: - Monitoring: Many doctors take a watchful waiting approach for small IPMNs, especially if there are no concerning features. Regular imaging helps ensure that any changes are caught early. - Age Factor:Being 19, it’s less common for IPMNs to progress to cancer at such a young age, which may be why your doctor is not overly concerned.

What You Can Do: 1. Follow-Up: Keep up with your scheduled scans and communicate any new symptoms to your doctor. 2. Stay Informed:While it’s good to be informed, try to focus on reputable medical sources rather than anecdotal stories online. 3. Talk to Your Doctor: If you have concerns, don’t hesitate to ask your doctor for more information about your specific case, including the likelihood of progression and what symptoms to watch for.

Managing Anxiety: - Support:Talk to someone you trust about your feelings, whether it’s a family member, friend, or mental health professional. - Mindfulness: Techniques like meditation or yoga can help manage anxiety and improve your overall well-being.

Thank you

199 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
4 days ago
5

Hello dear See as per clinical history it seems intra ductal papillary mucinous neoplasm (ipmn) which is a cystic growth in pancreas . It doesn’t carries chances of malignancy but not all cases become neoplastic So as per your doctor recommendation, Please get routine tests done,take precautions and get symptomatic treatment Please donot worry It has definitely good treatment with excellent prognosis so be assured Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
4 days ago
5

If I had your exact cyst, at your exact age, with the same features, I would be completely calm.

This is not a ticking time bomb. It is not something that will turn into cancer. You are being monitored correctly, which keeps the risk extremely low.

You are safe.

921 answered questions
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Having a 12 mm side branch IPMN—short for intraductal papillary mucinous neoplasm—especially at your age, can understandably raise concerns, especially given the information you’ve found online. However, it’s important to keep in mind that not all IPMNs lead to cancer. Many remain benign throughout a person’s life. In patients who have side branch IPMNs, the risk of malignant transformation is generally considered lower than main duct IPMNs. Your physician’s recommendation for a scan every six months is consistent with current guidelines for monitoring these kinds of cysts; high-risk features, like rapid growth, do warrant more aggressive management, but that’s not usually the case at this size and presentation. This surveillance strategy is designed to intervene early if any changes are detected that suggest a higher risk of malignancy. It’s easy to get caught up in what you read online, but it’s crucial to remember that your care plan is personalized. The absence of symptoms like jaundice, weight loss, or new-onset diabetes, is reassuring, and imaging exams help in tracking any potential progression. If this monitoring approach feels uncomfortable, discussing your concerns with an expert pancreas specialist may provide additional clarity. Consider discussing any family history of pancreatic diseases, as that could influence your overall risk assessment. Remember, while it’s good to be informed, it’s also necessary to focus on the follow-up plan tailored to your needs.

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