Diagnosis and management of cystic pancreatic lesions

Dushyant V. Sahani, Avinash Kambadakone, Michael MacAri, Noaki Takahashi, Suresh Chari, Carlos Fernandez-Del Castillo

Research output: Contribution to journalReview articlepeer-review

90 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)343-354
Number of pages12
JournalAmerican Journal of Roentgenology
Issue number2
StatePublished - Feb 2013


  • Cystic pancreatic lesion
  • MDCT
  • MRI

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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