| Diagnosis and management of cystic pancreatic lesions. | |
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MedLine Citation:
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PMID: 23345356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dushyant V Sahani; Avinash Kambadakone; Michael Macari; Noaki Takahashi; Suresh Chari; Carlos Fernandez-del Castillo |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 200 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-24 Completed Date: 2013-04-04 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: 343-54 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, White 270, Boston, MA 02114, USA. dsahani@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis, Differential Diagnostic Imaging* Humans Pancreatic Cyst / diagnosis*, therapy* Pancreatic Neoplasms / diagnosis*, therapy* Practice Guidelines as Topic* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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