Pancreatic Cystic Neoplasms: An Update

Gastroenterol Clin North Am. 2016 Mar;45(1):67-81. doi: 10.1016/j.gtc.2015.10.006. Epub 2016 Jan 13.

Abstract

The incidence of pancreatic cystic neoplasms is rising, in part from detection through the increasing use of high-resolution cross-sectional imaging techniques. Initial diagnosis is generally based on imaging characteristics identified on computed tomography and/or MRI. Endoscopic ultrasound provides further imaging characterization and also enables fluid aspiration and analysis to additionally aid differentiation. The general approach to these lesions includes surgical intervention and/or surveillance imaging. Taking into account diverse presentations, varying malignant potential, and the uncertain natural history of some of these lesions, an evidence-based approach is limited. This article discusses recent updates in the diagnosis and management of cystic neoplasms of the pancreas.

Keywords: Cyst; Cystic neoplasm; Mucinous; Pancreas.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma, Mucinous / diagnostic imaging
  • Adenocarcinoma, Mucinous / surgery
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangiopancreatography, Magnetic Resonance
  • Cystadenocarcinoma, Mucinous / diagnostic imaging
  • Cystadenocarcinoma, Mucinous / surgery
  • Cystadenoma, Mucinous / diagnostic imaging
  • Cystadenoma, Mucinous / surgery
  • Cystadenoma, Serous / diagnostic imaging
  • Cystadenoma, Serous / surgery
  • Endosonography
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasms, Cystic, Mucinous, and Serous / diagnostic imaging*
  • Neoplasms, Cystic, Mucinous, and Serous / surgery
  • Pancreatic Neoplasms / diagnostic imaging*
  • Pancreatic Neoplasms / surgery
  • Practice Guidelines as Topic
  • Tomography, X-Ray Computed