Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature
The prevalence of pancreatic cysts has been rising due to the widespread use of cross-sectional imaging (CT scan and MRI) of the abdomen. While most pancreatic cysts are benign and do not require treatment or surveillance, a significant minority are premalignant and rarely malignant. The risk strati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/3/550 |
| _version_ | 1827760192112033792 |
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| author | Ritu R. Singh Harishankar Gopakumar Neil R. Sharma |
| author_facet | Ritu R. Singh Harishankar Gopakumar Neil R. Sharma |
| author_sort | Ritu R. Singh |
| collection | DOAJ |
| description | The prevalence of pancreatic cysts has been rising due to the widespread use of cross-sectional imaging (CT scan and MRI) of the abdomen. While most pancreatic cysts are benign and do not require treatment or surveillance, a significant minority are premalignant and rarely malignant. The risk stratification of these lesions is not straightforward, and individual risk assessment, cyst size, distribution, and alarming morphologic features (when present) can guide the next steps in management. Neoplastic pancreatic cysts are mucinous or non-mucinous. Endoscopic ultrasound with fine-needle aspiration is often required to classify pancreatic cysts into mucinous and non-mucinous cysts and to assess the malignant potential. Advances in endoscopic techniques (confocal laser endomicroscopy, microforceps biopsy) can provide a definitive diagnosis of pancreatic cysts in some cases; however, the use of these techniques involves a higher risk of adverse events. |
| first_indexed | 2024-03-11T09:48:06Z |
| format | Article |
| id | doaj.art-61695e90c61c48be80336f5df216e435 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T09:48:06Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-61695e90c61c48be80336f5df216e4352023-11-16T16:26:25ZengMDPI AGDiagnostics2075-44182023-02-0113355010.3390/diagnostics13030550Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the LiteratureRitu R. Singh0Harishankar Gopakumar1Neil R. Sharma2Parkview Cancer Institute (PCI), Parkview Regional Medical Center, Fort Wayne, IN 46845, USADivision of Gastroenterology and Hepatology, University of Illinois College of Medicine, Peoria, IL 61656, USAParkview Cancer Institute (PCI), Parkview Regional Medical Center, Fort Wayne, IN 46845, USAThe prevalence of pancreatic cysts has been rising due to the widespread use of cross-sectional imaging (CT scan and MRI) of the abdomen. While most pancreatic cysts are benign and do not require treatment or surveillance, a significant minority are premalignant and rarely malignant. The risk stratification of these lesions is not straightforward, and individual risk assessment, cyst size, distribution, and alarming morphologic features (when present) can guide the next steps in management. Neoplastic pancreatic cysts are mucinous or non-mucinous. Endoscopic ultrasound with fine-needle aspiration is often required to classify pancreatic cysts into mucinous and non-mucinous cysts and to assess the malignant potential. Advances in endoscopic techniques (confocal laser endomicroscopy, microforceps biopsy) can provide a definitive diagnosis of pancreatic cysts in some cases; however, the use of these techniques involves a higher risk of adverse events.https://www.mdpi.com/2075-4418/13/3/550pancreatic cystic lesionsendoscopic ultrasoundfine needle aspirationsurveillanceintraductal papillary mucinous neoplasmmucinous cyst |
| spellingShingle | Ritu R. Singh Harishankar Gopakumar Neil R. Sharma Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature Diagnostics pancreatic cystic lesions endoscopic ultrasound fine needle aspiration surveillance intraductal papillary mucinous neoplasm mucinous cyst |
| title | Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature |
| title_full | Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature |
| title_fullStr | Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature |
| title_full_unstemmed | Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature |
| title_short | Diagnosis and Management of Pancreatic Cysts: A Comprehensive Review of the Literature |
| title_sort | diagnosis and management of pancreatic cysts a comprehensive review of the literature |
| topic | pancreatic cystic lesions endoscopic ultrasound fine needle aspiration surveillance intraductal papillary mucinous neoplasm mucinous cyst |
| url | https://www.mdpi.com/2075-4418/13/3/550 |
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