Validation of Sendai and Fukuoka consensus guidelines in predicting malignancy in patients with preoperatively diagnosed mucinous pancreatic cystic neoplasms

Validation of Sendai and Fukuoka consensus guidelines in predicting malignancy in patients with... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Surgical Oncology Wiley

Validation of Sendai and Fukuoka consensus guidelines in predicting malignancy in patients with preoperatively diagnosed mucinous pancreatic cystic neoplasms

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0022-4790
eISSN
1096-9098
D.O.I.
10.1002/jso.24882
Publisher site
See Article on Publisher Site

Abstract

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

Journal of Surgical OncologyWiley

Published: Jan 1, 2018

Keywords: ; ; ;

References

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