Management Algorithm for Cystic Pancreatic Lesions

Visceral Medicine
Georg BeyerJulia Mayerle

Abstract

Cystic pancreatic lesions are common findings in an aging society due to an increasing availability of high-resolution cross-sectional imaging. Although the overall prevalence of malignancy and the rate of malignant conversion are low, especially mucinous pancreatic cystic lesions such as intraductal papillary mucinous neoplasm and mucinous cystic neoplasm harbor significant malignant potential depending on their morphology and size. Recently updated guidelines recommend sophisticated algorithms for initial workup and surveillance based on individual characteristics of the cystic lesion and the patient, thus weighing the lifetime risk for malignancy against the adverse event rate of potentially curative surgery in the light of number and location of cystic lesions, age of the patient, comorbidities, and the resulting life expectancy as well as the effect of repeated follow-up examinations on the patient's quality of life. This article summarizes recommendations from available guidelines and proposes a pragmatic approach to the clinical management of pancreatic cystic lesions.

References

May 8, 2004·Gastroenterology·William R BruggeAndrew L Warshaw
Dec 6, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Jun 13, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
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Jul 31, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·M J JonesG Garcea
Mar 14, 2014·Pancreas·Joanna K LawAnne Marie Lennon
Jul 25, 2017·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaChristopher L Wolfgang
Feb 28, 2018·The American Journal of Gastroenterology·Grace H EltaAnne Marie Lennon
Mar 1, 2018·The British Journal of Surgery·M G KeaneM Del Chiaro

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Citations

Aug 25, 2018·Visceral Medicine·Julia Mayerle, Jens Werner

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