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.
Original language | English (US) |
---|---|
Pages (from-to) | 343-354 |
Number of pages | 12 |
Journal | American Journal of Roentgenology |
Volume | 200 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2013 |
Keywords
- Cystic pancreatic lesion
- MDCT
- MRI
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging