Incidental pancreatic cysts found by magnetic resonance imaging and their relationship with pancreatic cancer.
OBJECTIVE
We examined whether the presence of pancreatic cysts could be a risk for pancreatic cancer by comparing the incidence and characteristics of cysts found by magnetic resonance (MR) imaging in patients with and without pancreatic cancer.


METHODS
Half-Fourier rapid acquisition with relaxation enhancement images and MR cholangiopancreatography were performed in 116 patients with pancreatic cancer (PC group) and 1226 with nonpancreatic disease (NP group). Incidence and characteristics of cysts were analyzed.


RESULTS
Pancreatic cysts were detected in 65 patients (56%) of the PC group and in 123 patients (10%) of the NP group. According to the multivariate analysis, cyst presence was a significant risk factor for pancreatic cancer (odds ratio [OR], 10.27; P < 0.01), especially cysts larger than 10 mm (OR, 4.718; P < 0.01). When the definition of cyst presence in the PC group was restricted to the 33 cases with cysts considered to have existed before the development of cancer, the incidence was still high (OR, 2.976; P < 0.01) and size remained significant (OR, 4.428; P < 0.01).


CONCLUSIONS
Patients with pancreatic cysts, especially larger than 10 mm, were considered to be at an increased risk of pancreatic cancer over the entire pancreas.
Department of Gastroenterology, University of Tokyo, Tokyo, Japan.
Saburo
S
Matsubara
Minoru
M
Tada
Masaaki
M
Akahane
Hiroshi
H
Yagioka
Hirofumi
H
Kogure
Takashi
T
Sasaki
Toshihiko
T
Arizumi
Osamu
O
Togawa
Yousuke
Y
Nakai
Naoki
N
Sasahira
Kenji
K
Hirano
Takeshi
T
Tsujino
Hiroyuki
H
Isayama
Nobuo
N
Toda
Takao
T
Kawabe
Kuni
K
Ohtomo
Masao
M
Omata
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D049448:Cholangiopancreatography, Magnetic Resonance; D005260:Female; D006801:Humans; D007089:Image Enhancement; D015994:Incidence; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D012307:Risk Factors