To cease or 'de-cyst'? the evaluation and management of pancreatic cystic lesions topical collection on pancreas and biliary tract

Brintha K. Enestvedt, Nuzhat Ahmad

Research output: Contribution to journalArticle

Abstract

Due to the widespread use of cross-sectional imaging and advances in imaging technology, pancreatic cystic lesions are increasingly being detected. The diagnosis and management of such cysts remains challenging and continues to evolve. Different pancreatic cyst types have varying malignant potential. Thus, accurate cyst characterization is essential to appropriate management; the most clinically important distinction is differentiating mucinous lesions, which have malignant potential and may benefit from surgical resection, from non-mucinous cystic lesions. Endoscopic ultrasound with fine needle aspiration with cytologic, chemical, and tumor marker analysis appears to be the best currently available method for accurately characterizing a cyst's malignant potential, and therefore impacts the most important management decision for a pancreatic cyst - continued surveillance or surgical resection.

Original languageEnglish (US)
Article number348
JournalCurrent Gastroenterology Reports
Volume15
Issue number10
DOIs
StatePublished - 2013

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Biliary Tract
Pancreatic Cyst
Cysts
Pancreas
Tumor Biomarkers
Fine Needle Biopsy
Technology

Keywords

  • Intraductal papillary mucinous neoplasm
  • Mucinous cystic neoplasm
  • Pancreatic cyst
  • Pancreatic neoplasm
  • Pseudocyst
  • Serous cystadenocarcinoma
  • Serous cystadenoma
  • Solid pseudopapillary neoplasm

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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abstract = "Due to the widespread use of cross-sectional imaging and advances in imaging technology, pancreatic cystic lesions are increasingly being detected. The diagnosis and management of such cysts remains challenging and continues to evolve. Different pancreatic cyst types have varying malignant potential. Thus, accurate cyst characterization is essential to appropriate management; the most clinically important distinction is differentiating mucinous lesions, which have malignant potential and may benefit from surgical resection, from non-mucinous cystic lesions. Endoscopic ultrasound with fine needle aspiration with cytologic, chemical, and tumor marker analysis appears to be the best currently available method for accurately characterizing a cyst's malignant potential, and therefore impacts the most important management decision for a pancreatic cyst - continued surveillance or surgical resection.",
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