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AJR Am J Roentgenol. 2013 Feb;200(2):343-54. doi: 10.2214/AJR.12.8862.

Diagnosis and management of cystic pancreatic lesions.

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1
Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, White 270, Boston, MA 02114, USA. dsahani@partners.org

Abstract

OBJECTIVE:

The purpose of this review is to outline the management guidelines for the care of patients with cystic pancreatic lesions.

CONCLUSION:

The guidelines are as follows: Annual imaging surveillance is generally sufficient for benign serous cystadenomas smaller than 4 cm and for asymptomatic lesions. Asymptomatic thin-walled unilocular cystic lesions smaller than 3 cm or side-branch intraductal papillary mucinous neoplasms should be followed up with CT or MRI at 6 and 12 months interval after detection. Cystic lesions with more complex features or with growth rates greater than 1 cm/year should be followed more closely or recommended for resection if the patient's condition allows surgery. Symptomatic cystic lesions, neoplasms with high malignant potential, and lesions larger than 3 cm should be referred for surgical evaluation. Endoscopic ultrasound with fine-needle aspiration (FNA) biopsy can be used preoperatively to assess the risk of malignancy.

PMID:
23345356
DOI:
10.2214/AJR.12.8862
[Indexed for MEDLINE]
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