Korean J Gastroenterol.  2017 Jul;70(1):13-20. 10.4166/kjg.2017.70.1.13.

Clinical Approach to Incidental Pancreatic Cystic Neoplasm in Outpatient Clinics

• Woo YS
• Lee KT

• KMID: 2390779
• DOI: http://doi.org/10.4166/kjg.2017.70.1.13

Abstract

Cystic lesions of the pancreas are increasingly observed due to increased use of abdominal images. The malignant rate of pancreas cystic lesion varies widely between various types. Identification of malignant or high-risk lesions is important when determining the appropriate course of management. Using these image findings, including cyst size, presence of solid components, and pancreatic duct involvement, the 2012 International Association of Pancreatology (IAP) and the 2015 American Gastroenterological Association (AGA) guidelines provide a rationale in identifying higher risk patients requiring further workups using an endoscopic ultrasound (EUS). EUS with fine needle aspiration and cytology allows confirmation of the cyst type and determines the risk of malignancy. Small cysts with no suspicious features may undergo the regular imaging study for regular surveillance due to low risk for malignancy. In this review, the differences between the 2012 IAP and 2015 AGA guidelines are presented, In addition to possible recommendations for management and surveillance.

Keyword

Pancreatic cyst; Pancreatic neoplasms; Endosonography; Endoscopic ultrasound-guided fine needle aspiration

MeSH Terms

Ambulatory Care Facilities*
Biopsy, Fine-Needle
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Endosonography
Humans
Outpatients*
Pancreas
Pancreatic Cyst*
Pancreatic Ducts
Pancreatic Neoplasms
Ultrasonography

Reference

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