Document Detail


Diagnosis and management of cystic pancreatic lesions.
MedLine Citation:
PMID:  23345356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Dushyant V Sahani; Avinash Kambadakone; Michael Macari; Noaki Takahashi; Suresh Chari; Carlos Fernandez-del Castillo
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  200     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-04-04     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  343-54     Citation Subset:  AIM; IM    
Affiliation:
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
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MeSH Terms
Descriptor/Qualifier:
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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