Overview and comparison of guidelines for management of pancreatic cystic neoplasms

World J Gastroenterol. 2019 Aug 21;25(31):4405-4413. doi: 10.3748/wjg.v25.i31.4405.

Abstract

Pancreatic cysts are identified at an increasing frequency. Although mucinous cystic neoplasms represent a pre-malignant condition, the majority of these lesions do not progress to cancer. Over the last 10 years several societies have established guidelines for the diagnosis, initial evaluation and surveillance of these lesions. Here we provide an overview of five commonly used guidelines: 2015 American Gastroenterological Association, 2017 International Association of Pancreatology, American College of Gastroenterology 2018, European Study Group and American College of Radiology. We describe the similarities and differences between the methods used to formulate these guidelines, the population they target and their approaches towards initial evaluation and surveillance of cystic lesions.

Keywords: Cyst malignancy; Guidelines; Pancreatic cyst surveillance.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Aftercare / methods
  • Aftercare / standards
  • Cystadenoma / diagnosis
  • Cystadenoma / pathology
  • Cystadenoma / prevention & control*
  • Disease Progression
  • Europe
  • Gastroenterology / methods
  • Gastroenterology / standards*
  • Humans
  • Magnetic Resonance Imaging
  • Pancreas / diagnostic imaging
  • Pancreas / pathology
  • Pancreas / surgery
  • Pancreatectomy / standards
  • Pancreatic Cyst / diagnostic imaging*
  • Pancreatic Cyst / pathology
  • Pancreatic Cyst / therapy
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / pathology
  • Pancreatic Neoplasms / prevention & control*
  • Pancreatic Pseudocyst / diagnostic imaging*
  • Pancreatic Pseudocyst / pathology
  • Pancreatic Pseudocyst / therapy
  • Practice Guidelines as Topic*
  • Radiology / standards
  • Risk Assessment / methods
  • Risk Assessment / standards
  • Societies, Medical / standards
  • United States
  • Watchful Waiting / standards