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Diagnosis of Pancreatic Cyst: Algorithm

  • Stefano Francesco CrinòEmail author
Chapter
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Abstract

Pancreatic cyst diagnosis remains a challenge. The present algorithm was based on recent international guidelines and provides a practical overview of diagnostic sequence. We firstly divided cysts into “incidentally detected” and “symptomatic,” trying to highlight the indications to follow-up, surgery, or EUS.

Keywords

IPMN Mucinous cyst Endoscopic ultrasound Through-the-needle biopsy Serous cystadenoma 

Abbreviations

AP

Acute pancreatitis

BD-IPMN

Branch-duct intraductal papillary mucinous neoplasm

CE-CT

Contrast-enhanced computed tomography

CE-EUS

Contrast-enhanced endoscopic ultrasound

EUS

Endoscopic ultrasound

HGD

High-grade dysplasia

IPMN

Intraductal papillary mucinous neoplasm

MCN

Mucinous cystic neoplasm

MPD

Main pancreatic duct

MRCP

Magnetic resonance cholangiopancreatography

MRI

Magnetic resonance imaging

NET

Neuroendocrine Tumor

RP

Recurrent pancreatitis

SCA

Serous cystadenoma

SPN

Solid pseudopapillary neoplasm

TA

Tissue acquisition (fluid cytology, cyst wall fine-needle aspiration/biopsy, through-the-needle biopsy)

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Gastroenterology and Digestive Endoscopy UnitThe Pancreas Institute, University Hospital of VeronaVeronaItaly

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