Cystic Pancreatic Lesions: Approach to Diagnosis

Congress:

RANZCR-AOCR 2012

Poster Number:

R-0130

Type:

Educational Exhibit

Keywords:

Cysts, Biopsy, Endoscopy, Ultrasound, MR, CT, Pancreas, Biliary Tract / Gallbladder, Abdomen

Authors:

A. AGARWAL, R. M. Mendelson; Perth/AU

DOI:

DOI-Link:

https://dx.doi.org/

Background

Cystic pancreatic lesions have a diverse morphology and range from benign to malignant in nature.
It is important to be familiar with their imaging features and characteristics on different modalities in order to be able to guide appropriate management.
Particularly so since pancreatic surgery carries high morbidity, it is important to be familiar with the imaging features of benign lesions that can be followed up on a regular basis versus potential malignant lesions that need surgical attention.
The management of small incidentally discovered pancreatic cystic lesions has been controversial.
“Simple” cysts may be kept under observation (if clinically indicated), but larger or more complex cysts usually require definitive diagnosis.
Benign asymptomatic lesions may not require surgery, but some are premalignant and require close observation or surgery.