Comparison of Preoperative Conference-Based Diagnosis with Histology of Cystic Tumors of the Pancreas

Abstract

This study confirms that diagnostic errors are fairly common in the preoperative assessment of PCNs, but the errors are clinically relevant in <10 % of patients.

Diagnosis and Management of Pancreatic Cystic Neoplasms

“…7,73 Perioperative morbidity (18%-38%) and mortality (0%-2%) are approximately comparable to rates after pancreatectomy for all patients, including those with PDAC. 7-10 Management of pancreatic cystic neoplasms should ideally avoid unnecessary surgery for benign lesions while also considering the personal and financial costs of prolonged radiologic surveillance in young otherwise healthy patients with premalignant lesions.…”

Observational Study of the Incidence of Pancreatic and Extrapancreatic Malignancies During Surveillance of Patients With Branch-duct Intraductal Papillary Mucinous Neoplasm

“…It is well known that in the field of pancreatic cystic neoplasms, the diagnostic errors are common. [32][33][34] However, the criteria used for the definition of BD-IPMN in patients without histologic confirmation are well accepted, and for the purposes of this study, patients were included in the analysis only when the communication between the cyst and the MPD was clear. a large report from the Massachusetts General Hospital demonstrated that the conservative management of BD-IPMN according to the revised International Association of Pancreatology guidelines is safe and that we are likely to continue to err by overtreating this condition.…”

Intraductal papillary mucinous neoplasms and mucinous cystadenomas: current status and recommendations

“…Presently, the reported agreement between preoperative diagnosis and the pathology for PCLs is comprised between 68-78% (55)(56)(57). A combined strategy between the different imaging modalities as well as techniques that allow tissue/fluid sampling, such as endoscopic ultrasound (EUS), is currently recommended, at least for larger or worrisome lesions, to characterize and define these lesions (57,58).…”

“…A combined strategy between the different imaging modalities as well as techniques that allow tissue/fluid sampling, such as endoscopic ultrasound (EUS), is currently recommended, at least for larger or worrisome lesions, to characterize and define these lesions (57,58).…”