Pancreatic Cysts (cont.)
Bhupinder Anand, MD
In this Article
What is the treatment for pancreatic cysts?
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The most important aspect of management of pancreatic cysts is the determination of whether a cyst is benign (and usually needs no treatment) or if it is cancerous and must be removed.
The second most important aspect of management is to determine whether a patient with a precancerous or cancerous pancreatic cyst is a suitable surgical candidate. In medical centers experienced in performing pancreatic surgery, surgical removal of precancerous or cancerous cysts results in a high rate of cure.
Very small cysts can be followed to detect an increase in size that may indicate cancer or an increased risk of developing cancer. Not all cysts need to have EUS or be aspirated; some may have characteristics so suggestive of malignancy that surgery is recommended without EUS. Others may have characteristics so suggestive of a non-cancerous cyst that no EUS needs to be done although imaging studies (ultrasound, CT, MRI) may be repeated periodically. There are not yet standard recommendations for managing pancreatic cysts. Different medical centers have adopted different approaches to diagnosis and treatment. Management decisions must be individualized for each patient after discussions with a doctor familiar with the patient's health status. The following is one example of how a doctor might manage pancreatic cysts.
REFERENCE: UptoDate. Classification of Pancreatic Cysts.
Reviewed by Bhupinder Anand, MD on 3/20/2013
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