Alec J. Megibow, MD, MPH, Mark E. Baker, MD, Desiree E

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Presentation transcript:

Management of Incidental Pancreatic Cysts: A White Paper of the ACR Incidental Findings Committee Alec J. Megibow, MD, MPH, Mark E. Baker, MD, Desiree E. Morgan, MD, Ihab R. Kamel, MD, PhD, Dushyant V. Sahani, MD, Elliot Newman, MD, William R. Brugge, MD, Lincoln L. Berland, MD, Pari V. Pandharipande, MD, MPH Journal of the American College of Radiology Volume 14, Issue 7, Pages 911-923 (July 2017) DOI: 10.1016/j.jacr.2017.03.010 Copyright © 2017 American College of Radiology Terms and Conditions

Fig 1 Flowchart (Chart 1) specifying the management of incidental pancreatic cysts <1.5 cm. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct. Journal of the American College of Radiology 2017 14, 911-923DOI: (10.1016/j.jacr.2017.03.010) Copyright © 2017 American College of Radiology Terms and Conditions

Fig 2 Flowchart (Chart 2) specifying the management of incidental pancreatic cysts 1.5-2.5 cm, when main pancreatic duct (MPD) communication can be established (A), and when MPD communication is absent or cannot be determined (B). cPNET = cystic pancreatic neuroendocrine tumor; EUS = endoscopic ultrasound; FNA = fine needle aspiration; SCA = serous cystadenoma. Journal of the American College of Radiology 2017 14, 911-923DOI: (10.1016/j.jacr.2017.03.010) Copyright © 2017 American College of Radiology Terms and Conditions

Fig 2 Flowchart (Chart 2) specifying the management of incidental pancreatic cysts 1.5-2.5 cm, when main pancreatic duct (MPD) communication can be established (A), and when MPD communication is absent or cannot be determined (B). cPNET = cystic pancreatic neuroendocrine tumor; EUS = endoscopic ultrasound; FNA = fine needle aspiration; SCA = serous cystadenoma. Journal of the American College of Radiology 2017 14, 911-923DOI: (10.1016/j.jacr.2017.03.010) Copyright © 2017 American College of Radiology Terms and Conditions

Fig 3 Flowchart (Chart 3) specifying the management of incidental pancreatic cysts >2.5 cm. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct; SCA = serous cystadenoma. Journal of the American College of Radiology 2017 14, 911-923DOI: (10.1016/j.jacr.2017.03.010) Copyright © 2017 American College of Radiology Terms and Conditions

Fig 4 Flowchart (Chart 4) specifying the management of incidental pancreatic cysts in patients ≥80 years old at presentation. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct; SCA = serous cystadenoma. Journal of the American College of Radiology 2017 14, 911-923DOI: (10.1016/j.jacr.2017.03.010) Copyright © 2017 American College of Radiology Terms and Conditions