Novel investigative modalities for evaluation of pancreatic cystic lesions: Does increased diagnostic accuracy justify the high costs?

Novel investigative modalities for evaluation of pancreatic cystic lesions: Does increased diagnostic accuracy justify the high costs?

Evaluation and Management of Pancreatic Cystic Lesions

INTRODUCTION Pancreatic cysts are now being encountered by primary and specialty care physicians with ever increasing frequency due to the widespread use of high quality cross-sectional imaging (1,2). The majority of these cystic lesions are incidental asymptomatic findings, and therefore can present both diagnostic and therapeutic dilemmas. The differential diagnosis of cystic pancreatic lesio...

Evaluation and Management of Pancreatic Cystic Lesions

Vol. 20, No. 3 March 2013 JCOM 129 AbstrAct • Objective: To review the evaluation and management of pancreatic cystic lesions. • Methods: Review of the literature in the context of a clinical case. • Results: Pancreatic cysts are increasingly recognized due to the frequent use of abdominal imaging. Accurate characterization of these cysts is important not only to identify premalignant lesions t...

A Lower Cyst Fluid CEA Cut-Off Increases Diagnostic Accuracy In identifying Mucinous Pancreatic Cystic Lesions

Context Carcinoembryonic antigen analysis of pancreatic cyst fluid is the tumor marker of choice for preoperatively differentiating mucinous from non-mucinous cystic lesions. Objective We aim to determine the most accurate cyst carcinoembryonic antigen cut-off value for distinguishing mucinous cysts from non-mucinous cysts with a focus on discriminating intraductal papillary mucinous neoplasms....

Multidisciplinary diagnostic and therapeutic approaches to pancreatic cystic lesions

Pancreatic cystic lesions are commonly encountered today with the routine use of cross-sectional imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). The majority of patients discovered to have a pancreatic cyst are completely asymptomatic; yet the presence of such a finding instills fear in the minds of both patient and physician, as the concern for maligna...