Asymptomatic Neoplastic Pancreatic Cysts

Publication Date: April 1, 2015

Key Points

Key Points

Pancreatic cysts are common and increase with age, but the development of invasive adenocarcinoma in these cysts is extremely rare.

The incidental identification of pancreatic cysts is common with the growing use of sophisticated abdominal imaging techniques.

Approximately 15% of patients undergoing abdominal magnetic resonance imaging (MRI) for other indications harbor unsuspected pancreatic cysts.

The management strategy for pancreatic cysts aims to prevent the development of invasive cancer and/or to resect invasive malignancy early when present.

Current clinical practice is based on minimal evidence and relies almost exclusively on case series of frequent cross-sectional imaging with or without endoscopic ultrasonography (EUS) and/or fine-needle aspiration (FNA) cytology and surgery for concerning features.

The AGA recommends that before starting any pancreatic cyst surveillance program, patients should have a clear understanding of programmatic risks and benefits.

Diagnosis

...iagnosis

...ggests that patients with pancreatic...


...ts that pancreatic cysts with at l...


...ggests that patients without concerning EUS...


...AGA suggests that significant changes in the chara...


Management

...anageme...

...ggests against continued surveillance of pa...


...ts that patients with both a solid component and...


...ends that if surgery is considered for...


...e AGA suggests that patients with invasive ca...


...e AGA suggests against routine surveillance of...


Management of Asymptomatic Neoplastic Pancreatic Cysts

...Asymptomatic Neoplastic Pancreatic...