Endosonography in the diagnosis and management of pancreatic cysts

doi:10.4253/wjge.v7.i3.213

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Mar 16, 2015; 7(3): 213-223
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.213

Table 2 Endoscopic ultrasound features suggestive of mucinous or malignant cysts

EUS Feature	Type of cyst	Concerning for increased risk of malignancy
Size	-	> 3 cm
Shape	Smooth unilocular: pseudocyst or MCNLobular, multilocular: SCA or BD-IPMN	-
Number of cysts	Multiple: BD-IPMN	-
Calcifications	Central scar: pathognomonic for SCA Peripheral calcification: pseudocyst, SPEN, MCN	Peripheral calcification in MCN
Cyst wall	Thick: pseudocyst, cystic neuroendocrine, MCN, SPEN	Thick
Septa	-	Thick
Nodule	-	Presence
Solid mass	-	Presence
Debris	Pseudocyst	-
Pancreatic duct diameter	Dilated > 5 mm: MD-IPMN or mixed IPMN	Dilated > 8-10 mm
Communication with pancreatic duct	IPMN, pseudocyst	-

EUS: Endoscopic ultrasound; MCN: Mucinous cystic neoplasm; SCA: Serous cystadenoma; BD-IPMN: Branch duct intraductal papillary mucinous neoplasm; MD-IPMN: Main duct intraductal papillary mucinous neoplasm; SPEN: Solid pseudopapillary neoplasm; IPMN: Intraductal papillary mucinous neoplasm.

Citation: Kadiyala V, Lee LS. Endosonography in the diagnosis and management of pancreatic cysts. World J Gastrointest Endosc 2015; 7(3): 213-223
URL: https://www.wjgnet.com/1948-5190/full/v7/i3/213.htm
DOI: https://dx.doi.org/10.4253/wjge.v7.i3.213