PMID- 19258185
OWN - NLM
STAT- MEDLINE
DCOM- 20090528
LR  - 20090304
IS  - 1532-1916 (Electronic)
IS  - 1521-6918 (Linking)
VI  - 23
IP  - 1
DP  - 2009
TI  - Cystic lesions and intraductal neoplasms of the pancreas.
PG  - 35-48
LID - 10.1016/j.bpg.2008.11.011 [doi]
AB  - Pancreatic cystic lesions are being detected more frequently given increased use 
      of cross-sectional imaging modalities. The most common cysts encountered are 
      mucinous cysts, which have malignant potential. As many of these lesions are 
      incidental findings, it is important to further evaluate them with endoscopic 
      ultrasound-guided fine needle aspiration for diagnostic purposes and risk 
      stratification. These cysts either require surgical resection or surveillance 
      given the malignant risk. Mucinous cystic neoplasms should be resected. 
      Intraductal papillary mucinous neoplasia (IPMN) has consensus-guideline 
      indications for resection. These include main duct diameter > or = 10 mm, a 
      branch duct size > or = 3 cm, presence of a mural nodule, or cytology suspicious 
      for malignancy. Additionally, all symptomatic cysts, regardless of etiology, 
      should undergo resection. Branch duct IPMN is less aggressive that the main duct 
      variety, and may be conservatively followed. However, the development of an 
      established indication for resection should prompt surgery. Despite generalized 
      guidelines, decisions regarding management of pancreatic cysts should be 
      individualized, accounting for the malignant risk of the lesion and the surgical 
      risk of the patient.
FAU - Fasanella, Kenneth E
AU  - Fasanella KE
AD  - Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh 
      Medical Center, Pittsburgh, PA 15213, USA.
FAU - McGrath, Kevin
AU  - McGrath K
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Netherlands
TA  - Best Pract Res Clin Gastroenterol
JT  - Best practice & research. Clinical gastroenterology
JID - 101120605
SB  - IM
MH  - Adenocarcinoma, Mucinous/pathology
MH  - Carcinoma, Pancreatic Ductal/epidemiology/*pathology/surgery
MH  - Carcinoma, Papillary/pathology
MH  - Cell Transformation, Neoplastic/pathology
MH  - Cholangiopancreatography, Magnetic Resonance
MH  - Cystadenoma, Mucinous/pathology
MH  - Cystadenoma, Serous/pathology
MH  - Endosonography
MH  - Humans
MH  - Neoplasms, Cystic, Mucinous, and Serous/epidemiology/*pathology/surgery
MH  - Pancreatic Cyst/epidemiology/*pathology/surgery
MH  - Pancreatic Neoplasms/epidemiology/*pathology/surgery
MH  - Pancreatic Pseudocyst/pathology
MH  - Precancerous Conditions/epidemiology/*pathology/surgery
MH  - Tomography, X-Ray Computed
RF  - 66
EDAT- 2009/03/05 09:00
MHDA- 2009/05/29 09:00
CRDT- 2009/03/05 09:00
PHST- 2009/03/05 09:00 [entrez]
PHST- 2009/03/05 09:00 [pubmed]
PHST- 2009/05/29 09:00 [medline]
AID - S1521-6918(08)00091-7 [pii]
AID - 10.1016/j.bpg.2008.11.011 [doi]
PST - ppublish
SO  - Best Pract Res Clin Gastroenterol. 2009;23(1):35-48. doi: 
      10.1016/j.bpg.2008.11.011.