Diagnosis and Management of Cystic Lesions of the Pancreas
Joint Authors
Bani Hani, Murad
Cunningham, Steven C.
Schulick, Richard D.
Hruban, Ralph H.
Jani, Niraj
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-22
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Pancreatic cysts are challenging lesions to diagnose and to treat.
Determining which of the five most common diagnoses—pancreatic pseudocyst, serous cystic neoplasm (SCN), solid pseudopapillary neoplasm (SPN), mucinous cystic neoplasm (MCN), and intraductal mucinous papillary neoplasm (IPMN)—is likely the correct one requires the careful integration of many historical, radiographic, laboratory, and other factors, and management is markedly different depending on the type of cystic lesion of the pancreas.
Pseudocysts are generally distinguishable based on historical, clinical and radiographic characteristics, and among the others, the most important differentiation is between the mucin-producing MCN and IPMN (high risk for cancer) versus the serous SCN and SPN (low risk for cancer).
EUS with FNA and cyst-fluid analysis will continue to play an important role in diagnosis.
Among mucinous lesions, those that require treatment (resection currently) are any MCN, any MD IPMN, and BD IPMN larger than 3 cm, symptomatic, or with an associated mass, with the understanding that SCN or pseudocysts may be removed inadvertently due to diagnostic inaccuracy, and that a certain proportion of SPN will indeed be malignant at the time of removal.
The role of ethanol ablation is under investigation as an alternative to resection in selected patients.
American Psychological Association (APA)
Jani, Niraj& Bani Hani, Murad& Schulick, Richard D.& Hruban, Ralph H.& Cunningham, Steven C.. 2011. Diagnosis and Management of Cystic Lesions of the Pancreas. Diagnostic and Therapeutic Endoscopy،Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-474759
Modern Language Association (MLA)
Jani, Niraj…[et al.]. Diagnosis and Management of Cystic Lesions of the Pancreas. Diagnostic and Therapeutic Endoscopy No. 2011 (2011), pp.1-9.
https://search.emarefa.net/detail/BIM-474759
American Medical Association (AMA)
Jani, Niraj& Bani Hani, Murad& Schulick, Richard D.& Hruban, Ralph H.& Cunningham, Steven C.. Diagnosis and Management of Cystic Lesions of the Pancreas. Diagnostic and Therapeutic Endoscopy. 2011. Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-474759
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474759