Radiological and endoscopic imaging methods in the management of cystic pancreatic neoplasms

Acta Gastroenterol Belg. 2017 Apr-Jun;80(2):283-291.

Abstract

The management of cystic pancreatic neoplasm (CPN) is a clinical dilemma because of its clinical presentations and malignant potential. Surgery is the best treatment choice ; however, pancreatic surgery still has high complication rates, even in experienced centers. Imaging methods have a definitive role in the management of CPN and computed tomography, magnetic resonance imaging, and endoscopic ultrasonography are the preferred methods since they can reveal the suspicious features for malignancy. Therefore, radiologists, gastroenterologists, endoscopists, and surgeons should be aware of the common features of CPN, its discrete presentations on imaging methods, and the limitations of these modalities in the management of the disease. This study aims to review the radiological and endoscopic imaging methods used for the management of CPN.

Keywords: computed tomography; cystic pancreatic neoplasm; endoscopic ultrasonography; magnetic resonance imaging; pancreas; radiology.

Publication types

  • Review

MeSH terms

  • Cystadenocarcinoma* / pathology
  • Cystadenocarcinoma* / therapy
  • Diagnosis, Differential
  • Endosonography / methods*
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Pancreatic Cyst / diagnosis*
  • Pancreatic Neoplasms* / pathology
  • Pancreatic Neoplasms* / therapy
  • Pancreatic Pseudocyst / diagnosis*
  • Patient Selection
  • Tomography, X-Ray Computed / methods*