AbbreviationsANadvanced neoplasiaAUCarea under the curveBD‐IPMNbranch‐duct IPMNCA19‐9carbohydrate antigen 19‐9CTcomputed tomographyEUSendoscopic ultrasoundFCGFukuoka consensus guidelinesHGDhigh‐grade dysplasiaHRhigh‐riskIQRinterquartile rangeIPMNintraductal papillary mucinous neoplasmMCNmucinous cystic neoplasmMD‐IPMNmain‐duct IPMNMPDmain pancreatic ductMRImagnetic resonance imagingMT‐IPMNmixed‐type IPMNNETneuroendocrine tumorNPVnegative predictive valuePCNpancreatic cystic neoplasmPPVpositive predictive valueROCreceive operating characteristicSCAserous cystadenomaSCGSendai consensus guidelinesSPTsolid pseudopapillary tumorWworrisomeINTRODUCTIONWith the widespread use of advanced abdominal cross‐sectional imaging, pancreatic cystic neoplasms (PCNs) are detected with increasing frequency, as either symptomatic or incidental findings. Previous studies indicated that in the general population, the prevalence of unexpected pancreatic cysts identified on magnetic resonance imaging (MRI) was 13.5% and 2.6% on computed tomography (CT), which increased with age. PCNs represent a heterogeneous group of tumors with a vast pathologic spectrum, ranging from benign to potentially malignant and malignant. As the most common PCNs, cystic mucin‐producing pancreatic neoplasms, including intraductal papillary mucinous neoplasms (IPMNs) and mucinous cystic neoplasms (MCNs), show potential for malignant transformation. In the past, all mucinous PCNs were recommended for surgical resection due to the risk of progression to carcinomas. However, in the last decade, with a growing understanding of the natural history and biological behavior of PCNs and the consideration of surgical risks, conservative strategies have been adopted by more and more clinicians.In 2006, the Sendai consensus guidelines (SCG) were
Journal of Surgical Oncology – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
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