Open AccessPancreatic cystic neoplasms: Review of current knowledge, diagnostic challenges, and management options
Author(s) -
Tanima Jana,
Jennifer Shroff,
Manoop S. Bhutani
Publication year - 2015
Publication title -
journal of carcinogenesis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.771
H-Index - 38
eISSN - 0974-6773
pISSN - 1477-3163
DOI - 10.4103/1477-3163.153285
Subject(s) - medicine , serous cystadenoma , endoscopic ultrasound , radiology , pancreas , intraductal papillary mucinous neoplasm , magnetic resonance imaging , fine needle aspiration , pathology , cyst , biopsy
Pancreatic cystic lesions are being detected with increasing frequency, largely due to advances in cross-sectional imaging. The most common neoplasms include serous cystadenomas, mucinous cystic neoplasms, intraductal papillary mucinous neoplasms, solid pseudopapillary neoplasms, and cystic pancreatic endocrine neoplasms. Computed tomography (CT), magnetic resonance imaging (MRI), and endoscopic ultrasound (EUS) are currently used as imaging modalities. EUS-guided fine needle aspiration has proved to be a useful diagnostic tool, and enables an assessment of tumor markers, cytology, chemistries, and DNA analysis. Here, we review the current literature on pancreatic cystic neoplasms, including classification, diagnosis, treatment, and recommendations for surveillance. Data for this manuscript was acquired via searching the literature from inception to December 2014 on PubMed and Ovid MEDLINE