Pancreatic Cystic Lesions: Review of the Current State of Diagnosis and Surveillance

Author:

Alwahbi Omar1ORCID,Ghumman Zonia12,van der Pol Christian B.12ORCID,Patlas Michael13ORCID,Gopee-Ramanan Prasaanthan12ORCID

Affiliation:

1. Department of Radiology, McMaster University Health Sciences Centre (HSC – 3N26), Hamilton, ON, Canada

2. Juravinski Hospital and Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada

3. Hamilton General Hospital, Hamilton Health Sciences, Hamilton, ON, Canada

Abstract

Pancreatic cystic lesions (PCLs) are both common and often incidental. These encompass a range of pathologies with varying degrees of concern for malignancy. Although establishing a diagnosis is helpful for determining malignant potential, many PCLs are either too small to characterize or demonstrate nonspecific morphologic features. The most salient modalities involved in diagnosis and surveillance are magnetic resonance imaging, multidetector computerized tomography, and endoscopic ultrasound. Fine needle aspiration has a role in conjunction with molecular markers as a diagnostic tool, particularly for identifying malignant lesions. Although several major consensus guidelines exist internationally, there remains uncertainty in establishing the strength of the association between all PCLs and pancreatic adenocarcinoma, and in showing a benefit from extended periods of imaging surveillance. No consensus exists between the major guidelines, particularly regarding surveillance duration, frequency, or endpoints. This review paper discusses PCL subtypes, diagnosis, and compares the major consensus guidelines with considerations for local adaptability along with questions regarding current and future priorities for research.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Endoscopic Therapy of Solid and Cystic Neoplasms of the Pancreas;Techniques and Innovations in Gastrointestinal Endoscopy;2024-09

2. A Review of Pancreatic Cystic Lesions on Imaging;Advances in Clinical Radiology;2024-09

3. Percentage of Pancreatic Cysts on MRI With a Pancreatic Carcinoma: Systematic Review and Meta‐Analysis;Journal of Magnetic Resonance Imaging;2023-12-05

4. Pancreatic cystic neoplasms: a comprehensive approach to diagnosis and management;Oncology and Translational Medicine;2023-10-25

5. Risk Models for Pancreatic Cyst Diagnosis;Gastrointestinal Endoscopy Clinics of North America;2023-07

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