Korean J Med.  2019 Aug;94(4):322-329. 10.3904/kjm.2019.94.4.322.

Updated Guidelines for the Management of Pancreatic Cystic Neoplasm

• Chung KH
• Son BK

• KMID: 2454675
• DOI: http://doi.org/10.3904/kjm.2019.94.4.322

Abstract

Pancreatic cystic neoplasms are becoming increasingly frequent, presenting a number of challenges in clinical practice. While several guidelines have been published to address these, they are largely composed of expert opinions based on relatively low-level evidence. Their recommendations are similar in general, but there are many differences in detail. Pancreatic neoplasms have differing malignant potential, based on the histologic type and clinical and radiological features of the cysts. It is necessary to stratify the malignancy risk of each cyst, using proper evaluation methods, and to manage it appropriately, with surgical resection or surveillance. In addition, risks associated with surgical resection, costs associated with long-term follow-up, and patient discomfort and anxiety must be considered in the proper management of pancreatic cystic neoplasms. In this review, we introduce four recently published guidelines.

Keyword

Pancreatic cyst; Pancreatic neoplasms; Practice guideline; Pancreatic intraductal neoplasms

MeSH Terms

Anxiety
Expert Testimony
Follow-Up Studies
Humans
Pancreatic Cyst*
Pancreatic Neoplasms