Provide an overview of main clinical and radiological features of common pancreatic cystic neoplasms; Discuss the appropriate management of pancreatic cystic neoplasms based on current international guidelines; Report cases from our hospital,
with radiologic-pathologic correlation.
Nowadays pancreatic cysts are common incidental findings due to advance and widespread useof imaging modalities.
Many of these lesions are non-neoplastic,
an important proportion are neoplastic: some can have an indolent course while others can be malignant or have malignant potential.
Several guidelines have been developed and uploaded in order to provide a practical approach of pancreatic cystic lesions; there are similarities between them,
but also some...
Findings and procedure details
CASE REPORT 1 - Female,
73 years old. - Clinical information:Incidentalomas found in the study of chronic liver disease. Diagnosis: Mixed type intraductal papillary mucinous neoplasm. Indication for surgery: Relative. CASE REPORT 2 - Male,
78 years old - Clinical information:Incidentaloma on CT,
by surveillanceofascending aortic aneurysm. Diagnosis: Branch duct intraductal papillary mucinous neoplasm. Indication for surgery: Relative. CASE REPORT 3 - Female,
81 years old,
caucasian - Clinical...
Radiologists should be able to recognize and risk stratify pancreatic cystic neoplasms to improve diagnosis and surveillance of these lesions.
A multidisciplinary approach is crucial,
based on guidelines and clinical sense,
and management must be adjusted to patient context.
• European Study Group on Cystic Tumours of the Pancreas.
European evidence-based guidelines on pancreatic cystic neoplasms.
2018 May;67(5):789-804. • Takaori K,
International Association of Pancreatology (IAP)/European Pancreatic Club (EPC) consensus review of guidelines for the treatment of pancreatic cancer.
2016 Jan-Feb;16(1):14-27. • Tanaka M,
et al: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas....