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Korean J Radiol. 2019 Apr;20(4):542-557. doi: 10.3348/kjr.2018.0640.

Diagnosis and Surveillance of Incidental Pancreatic Cystic Lesions: 2017 Consensus Recommendations of the Korean Society of Abdominal Radiology.

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Department of Radiology, Chung-Ang University Hospital, Seoul, Korea.
Department of Radiology, Seoul National University Hospital, Seoul, Korea.
Department of Radiology, Konkuk University Medical Center, Seoul, Korea.
Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Department of Radiology, Korea University Guro Hospital, Seoul, Korea.
Department of Radiology, Asan Medical Center, Seoul, Korea.
Department of Radiology, Chonnam National University Hospital, Gwangju, Korea.


The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing. Radiologic examinations including computed tomography and magnetic resonance imaging with magnetic resonance cholangiopancreatography have been widely used as the main diagnostic and surveillance methods for patients with incidental PCLs. Although most incidentally detected PCLs are considered benign, they have the potential to become malignant. Currently, we have several guidelines for the management of incidental PCLs. However, there is still debate over proper management, in terms of accurate diagnosis, optimal follow-up interval, and imaging tools. Because imaging studies play a crucial role in the management of incidental PCLs, the 2017 consensus recommendations of the Korean Society of Abdominal Radiology for the diagnosis and surveillance of incidental PCLs approved 11 out of 16 recommendations. Although several challenges remain in terms of optimization and standardization, these consensus recommendations might serve as useful tools to provide a more standardized approach and to optimize care of patients with incidental PCLs.


Computed tomography; Consensus; Cysts; Magnetic resonance imaging; Pancreas

Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

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