Articles | British Columbia Medical Journal

Endoscopic ultrasound image of a pancreatic cyst suspicious for intraductal papillary mucinous neoplasm, with an intraluminal echogenic focus, representing a mural nodule or mucin ball.

Review Articles / November 2026

Pancreatic cystic lesions in adults: Diagnosis and management

BY: Rohan Kakkar, MD, Gavin Sugrue, MBBCh BAO, FRCPC, S. Ian Gan, MD, FRCPC

Pancreatic cystic lesions are being increasingly encountered in clinical practice due to the increased use of cross-sectional imaging.[1] Incidental pancreatic cysts are identified in up to 20% of... Read More

Pancreatic neuroendocrine tumor after endoscopic ultrasound fine-needle biopsy. Images on the left (40x) and right (4x) show immunohistochemical stains of the biopsies.

Review Articles / November 2026

Pancreatic neuroendocrine tumors in British Columbia: A review

BY: David Sanders, MD, FRCPC, Kyra Berg, MD, Nevin De Korompay, MD, FRCPC, David Nguyen, MD, MSc, FRCPC, Roberto Trasolini, MD, MSc, FRCPC

BC Cancer estimates the average-risk patient’s lifetime risk of pancreas ductal adenocarcinoma at 1.3%. In contrast, pancreatic neuroendocrine tumors (NETs) are rare. The pancreatic NET incidence was... Read More

A technician performs an abdominal ultrasound on a patient.

Review Articles / November 2026

Pancreas screening in high-risk individuals

BY: Dylan Wei Yang Stanton, David F. Schaeffer, MD, FRCPC, Carol Cremin, MSc, Kasmintan A. Schrader, MBBS, PhD, FRCPC, Jennifer J. Telford, MD, MPH, FRCPC, CAGF, FACG

Key points Assessment and management of individuals at risk for pancreatic cancer: Assess family history. Modify risk factors. Discuss the benefits, harms, and limitations of screening... Read More

MRI of the brain with contrast showing restricted diffusion bilaterally in a watershed pattern (red arrows).

Clinical Case Reports / October 2026

Serotonin syndrome presenting as posterior reversible encephalopathy syndrome in the setting of combined selective serotonin reuptake inhibitors and attention-deficit/hyperactivity disorder therapy

BY: Nicole Hawe, MD, Lori Wik, MD

Serotonin syndrome is a potentially life-threatening drug-induced toxidrome associated with increased serotonergic activity in both the peripheral and central nervous systems.[1] It is characterized... Read More

Histology of the thin, web-like mucosal septum with surface ulceration; hematoxylin and eosin stain.

Clinical Case Reports / October 2026

Cryptogenic multifocal ulcerous stenosing enteritis presenting as refractory iron deficiency anemia

BY: Jeraldine Chan, MD, CCFP, Hui-Min Yang, MD, FRCPC, Diane Villanyi, MD, FRCPC, Lik Hang Lee, MD, FRCPC

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare inflammatory pathology of unknown origin, with multiple ulcerative strictures confined to the small bowel. With less than 100... Read More

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