title: Italian consensus guidelines for the diagnostic work-up and follow-up of cystic pancreatic neoplasms.
abstract: This report contains clinically oriented guidelines for the diagnostic work-up and follow-up of cystic pancreatic neoplasms in patients fit for treatment. The statements were elaborated by working groups of experts by searching and analysing the literature, and then underwent a consensus process using a modified Delphi procedure. The statements report recommendations regarding the most appropriate use and timing of various imaging techniques and of endoscopic ultrasound, the role of circulating and intracystic markers and the pathologic evaluation for the diagnosis and follow-up of cystic pancreatic neoplasms.
authors.affiliation: Gastroenterology Unit, Maggiore Hospital, Crema, Italy. Electronic address: ebuscarini@rim.it.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Buscarini
authors.affiliation: Pancreas Unit, Department of Digestive Diseases and Internal Medicine, S. Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Pezzilli
authors.affiliation: Gastroenterology Unit, CRO-National Cancer Institute, Aviano, Italy.
authors.forename: Renato
authors.initials: R
authors.lastname: Cannizzaro
authors.affiliation: Gastroenterology and Hepatology Department, A.O. San Giovanni Battista/Molinette, University of Turin, Turin, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: De Angelis
authors.affiliation: Department of Clinical Pathology, AULSS 12, Venice, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Gion
authors.affiliation: Department of Diagnostic Radiology, Ospedale Cà Foncello, Treviso, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Morana
authors.affiliation: Department of Pathology, University of Verona, Verona, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Zamboni
authors.affiliation: Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Arcidiacono
authors.affiliation: Department of Surgery, San Raffaele Scientific Institute, Milan, Italy.
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Balzano
authors.affiliation: Gastroenterology and Endoscopy Unit, ISMETT, Palermo, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Barresi
authors.affiliation: Department of Laboratory Medicine, University Hospital, Padua, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Basso
authors.affiliation: Gastroenterology Unit, Ospedale Sacro Cuore-Don Calabria, Negrar, Verona, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Bocus
authors.affiliation: Department of Radiology, S. Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Calculli
authors.affiliation: Digestive and Liver Disease Unit, Faculty of Medicine and Psychology, Sapienza University of Rome at S. Andrea Hospital, Rome, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Capurso
authors.affiliation: Division of Pathology, CRO-National Cancer Institute, IRCCS, Aviano, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Canzonieri
authors.affiliation: Department of Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Casadei
authors.affiliation: Department of Surgery, Pancreas Unit, Università Politecnica delle Marche, Ancona, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Crippa
authors.affiliation: Department of Radiology, University Hospital G.B. Rossi, University of Verona, Verona, Italy.
authors.forename: Mirko
authors.initials: M
authors.lastname: D'Onofrio
authors.affiliation: Department of Surgical and Gastroenterological Sciences, University of Verona, Verona, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Frulloni
authors.affiliation: Department of Clinical Medicine, University of Bologna, Bologna, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Fusaroli
authors.affiliation: Gastroenterology Unit, Maggiore Hospital, Crema, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Manfredi
authors.affiliation: Pathology Unit, A.O. San Giovanni Battista/Molinette, Turin, Italy.
authors.forename: Donatella
authors.initials: D
authors.lastname: Pacchioni
authors.affiliation: Surgery Unit IV, Department of Medical and Surgical Sciences, University of Padua, Padua, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Pasquali
authors.affiliation: Gastroenterology Unit, Mauriziano Hospital, Turin, Italy.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Rocca
authors.affiliation: Department of Internal Medicine and Gastroenterology, Bentivoglio Hospital, Bologna, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Ventrucci
authors.affiliation: Department of Diagnostic Radiology, Ospedale Cà Foncello, Treviso, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Venturini
authors.affiliation: 2nd Pathology Section, Spedali Civili, Brescia, Brescia, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Villanacci
authors.affiliation: Pancreatic Surgery, Department of Surgery, Humanitas Clinical and Research Center, Milan, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Zerbi
authors.affiliation: Department of Surgery, Pancreas Unit, Università Politecnica delle Marche, Ancona, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Falconi
mesh_terms: D014408:Biomarkers, Tumor / Q000097:blood*; D049448:Cholangiopancreatography, Magnetic Resonance; D032921:Consensus; D003697:Delphi Technique; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D019160:Endosonography; D006801:Humans; D007558:Italy; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000737:chemistry / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000737:chemistry / Q000175:diagnosis*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor
keywords: Neoplasms, cystic, mucinous, and serous; Pancreatic cyst; Pancreatic neoplasms