The Incidental Pancreatic Cyst: When to Worry About Cancer.

Autor: Kruse DE; Department of Radiology, Duke Health, Durham, NC, USA. danielle.kruse@duke.edu., Paulson EK; Department of Radiology, Duke Health, Durham, NC, USA.
Jazyk: angličtina
Zdroj: Korean journal of radiology [Korean J Radiol] 2024 Jun; Vol. 25 (6), pp. 559-564.
DOI: 10.3348/kjr.2024.0085
Abstrakt: Incidental pancreatic cystic lesions are a common challenge encountered by diagnostic radiologists. Specifically, given the prevalence of benign pancreatic cystic lesions, determining when to recommend aggressive actions such as surgical resection or endoscopic ultrasound with sampling is difficult. In this article, we review the common types of cystic pancreatic lesions including serous cystadenoma, intraductal papillary mucinous neoplasm, and mucinous cystic neoplasm with imaging examples of each. We also discuss high-risk or worrisome imaging features that warrant a referral to a surgeon or endoscopist and provid several examples of these features. These imaging features adhere to the latest guidelines from the International Consensus Guidelines, American Gastroenterological Association (2015), American College of Gastroenterology (2018), American College of Radiology (2010, 2017), and European Guidelines (2013, 2018). Our focused article addresses the imaging dilemma of managing incidental cystic pancreatic lesions, weighing the options between imaging follow-up and aggressive interventions.
Competing Interests: The authors have no potential conflicts of interest to disclose.
(Copyright © 2024 The Korean Society of Radiology.)
Databáze: MEDLINE