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Incidentally detected cystic lesions of the pancreas on CT: review of literature and management suggestions

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Abstract

Purpose

To facilitate a better understanding of incidentally noted cystic pancreatic lesions, since these lesions often pose a challenge regarding appropriate management.

Methods

This article reviews pathophysiology, prevalence, significance, and recommendations for management of the various pancreatic cystic lesions. Illustrative cases are demonstrated.

Results

Diagnostic benign lesions can be left alone. Cross-sectional imaging can be used to follow-up benign appearing lesions and to stage more aggressive ones. Endoscopic ultrasound with fine needle aspiration and cyst fluid analysis can be performed on certain indeterminate lesions. Lesions with high malignant potential should undergo resection.

Conclusions

A better understanding of the variety of incidentally detected pancreatic cystic lesions can help direct appropriate management.

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Authors and Affiliations

  1. Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 601 N. Caroline Street, JHOC 3235 A, Baltimore, MD, 21231, USA

    Atif Zaheer, Sajal S. Pokharel, Elliot K. Fishman & Karen M. Horton

  2. Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, 21287, USA

    Christopher Wolfgang

Authors
  1. Atif Zaheer
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  2. Sajal S. Pokharel
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  3. Christopher Wolfgang
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  4. Elliot K. Fishman
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  5. Karen M. Horton
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Correspondence to Atif Zaheer.

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Zaheer, A., Pokharel, S.S., Wolfgang, C. et al. Incidentally detected cystic lesions of the pancreas on CT: review of literature and management suggestions. Abdom Imaging 38, 331–341 (2013). https://doi.org/10.1007/s00261-012-9898-y

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