title: Pancreatic Cystic Neoplasms: An Update.
abstract: The incidence of pancreatic cystic neoplasms is rising, in part from detection through the increasing use of high-resolution cross-sectional imaging techniques. Initial diagnosis is generally based on imaging characteristics identified on computed tomography and/or MRI. Endoscopic ultrasound provides further imaging characterization and also enables fluid aspiration and analysis to additionally aid differentiation. The general approach to these lesions includes surgical intervention and/or surveillance imaging. Taking into account diverse presentations, varying malignant potential, and the uncertain natural history of some of these lesions, an evidence-based approach is limited. This article discusses recent updates in the diagnosis and management of cystic neoplasms of the pancreas.
authors.affiliation: Division of Gastroenterology, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Gyanprakash A
authors.initials: GA
authors.lastname: Ketwaroo
authors.affiliation: Division of Abdominal Imaging, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
authors.forename: Koenraad J
authors.initials: KJ
authors.lastname: Mortele
authors.affiliation: Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address: msawhney@bidmc.harvard.edu.
authors.forename: Mandeep S
authors.initials: MS
authors.lastname: Sawhney
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000000981:diagnostic imaging / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D018282:Cystadenocarcinoma, Mucinous / Q000000981:diagnostic imaging / Q000601:surgery; D018291:Cystadenoma, Mucinous / Q000000981:diagnostic imaging / Q000601:surgery; D018293:Cystadenoma, Serous / Q000000981:diagnostic imaging / Q000601:surgery; D019160:Endosonography; D006801:Humans; D008279:Magnetic Resonance Imaging; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000000981:diagnostic imaging* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D017410:Practice Guidelines as Topic; D014057:Tomography, X-Ray Computed
keywords: Cyst; Cystic neoplasm; Mucinous; Pancreas