pancreatic cystside-branch IPMNsurveillanceINTERNATIONAL-CONSENSUS-GUIDELINESMANAGEMENTMALIGNANCYRISKCLASSIFICATIONObjective: To quantify the rate of progression in surveilled cysts and assess what factors should indicate delayed resection. Background: Side-branch intraductal papillary mucinous neoplasms (SB-IPMNs)...
Side branchCarcinomaBackgroundSurgical resection for intraductal papillary mucinous neoplasm (IPMN) of the pancreas has increased over the last decade. While IPMN with main duct communication are generally recommended for resection, indications for resection of side-branch IPMN (SDIPMN) have been less ...
Although conservative management is appropriate for selected patients, regular and long-term imaging, especially by EUS is essential, even if SB-IPMN remains unchanged for 2 years. Presence of mural nodule and dilated MPD seem to be more appropriate indicators for resection than cyst size alone ...
More recent CT scan showed a 2cm cyst in the neck of the pancreas with clear communication with the main duct. EUS was performed to rule out an IPMN. Changes of chronic pancreatitis were seen and fluid sampling by FNA yielded clear viscous fluid and CEA > 900ng/ml highly suggestive of ...