Diagnosis and management of pancreatic cystic neoplasms

Keegan, Mathew; Paranandi, Bharat

doi:10.1136/flgastro-2018-101122

Cited by 2 publications

(1 citation statement)

References 71 publications

(25 reference statements)

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“…The most common types of PCNs ( Figure 1 ) are mucin-producing intraductal papillary mucinous neoplasms (IPMNs, encompassing branch-duct IPMNs, main-duct IPMNs and mixed-type IPMNs) and mucinous cystic neoplasms (MCNs). Less common subtypes include nonmucinous tumors such as solid pseudopapillary neoplasms (SPNs) and serous cystic neoplasms (SCNs) ( 6 ). The incidence of PCNs varies with the population distribution.…”

Section: The Major Pancreatic Cystic Neoplasmsmentioning

confidence: 99%

Cystic Neoplasms of the Pancreas: Differential Diagnosis and Radiology Correlation

Wang

et al. 2022

Front. Oncol.

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Although the probability of pancreatic cystic neoplasms (PCNs) being detected is raising year by year, their differential diagnosis and individualized treatment are still a challenge in clinical work. PCNs are tumors containing cystic components with different biological behaviors, and their clinical manifestations, epidemiology, imaging features, and malignant risks are different. Some are benign [e.g., serous cystic neoplasms (SCNs)], with a barely possible that turning into malignant, while others display a low or higher malignant risk [e.g., solid pseudopapillary neoplasms (SPNs), intraductal papillary mucinous neoplasms (IPMNs), and mucinous cystic neoplasms (MCNs)]. PCN management should concentrate on preventing the progression of malignant tumors while preventing complications caused by unnecessary surgical intervention. Clinically, various advanced imaging equipment are usually combined to obtain a more reliable preoperative diagnosis. The challenge for clinicians and radiologists is how to accurately diagnose PCNs before surgery so that corresponding surgical methods and follow-up strategies can be developed or not, as appropriate. The objective of this review is to sum up the clinical features, imaging findings and management of the most common PCNs according to the classic literature and latest guidelines.

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Section: The Major Pancreatic Cystic Neoplasmsmentioning

confidence: 99%