title: Management of pancreatic cysts: a multidisciplinary approach.
abstract: OBJECTIVE
  An increasing number of patients are being diagnosed with pancreatic cysts. Pancreatic cysts are best evaluated by a team of healthcare professionals that includes gastroenterologists, surgeons, radiologists, pathologists, oncologists and geneticists.
  
  
  RESULTS
  The international consensus guidelines for the management of intraductal papillary mucinous neoplasm (IPMN) and mucinous cystic neoplasm were updated in 2012, incorporating research that had been reported over a 5-year span since the publication of the previous guidelines. There are significant changes in the new guidelines, which include redefining main duct IPMN and removing the recommendation for surgical resection based on size alone. In addition, the discovery of molecular markers of cyst type promises to revolutionize the way patients are diagnosed and managed.
  
  
  CONCLUSIONS
  The diagnosis and management of patients with pancreatic cysts have progressed significantly in recent years. Large prospective, multicenter trials are now needed to validate the new international consensus guidelines and to assess the accuracy of new molecular markers.
authors.affiliation: Division of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
authors.forename: Joanna K
authors.initials: JK
authors.lastname: Law
authors.forename: Ralph H
authors.initials: RH
authors.lastname: Hruban
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Lennon
mesh_terms: D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis / Q000601:surgery; D018293:Cystadenoma, Serous / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010181:Pancreatic Cyst / Q000175:diagnosis* / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery; D010348:Patient Care Team; D017410:Practice Guidelines as Topic