Diagnostic and radiological management of cystic pancreatic lesions: Important features for radiologists

Pancreatic cystic lesions: classification, diagnosis and treatment

“…On the image of TC, cystic masses multiple well circumscribed are observed, juxtaposed or pediculate to the pancreas. 37 On MRI image is well circumscribed in all you do, being increased signal on T2 and T1-hypointense signal. 32,35 Surgical resection is usually indicated for establishing the accurate diagnosis of the resected specimen.…”

“…The Lumpectomy is usually curative, however the recurrence can be observed after incomplete resection. 37 ( Figure 13). …”

“…Endoscopic ultrasound fine needle aspiration of contents of injury may help, but the definitive diagnosis is made only after histological analysis after surgical resection. 34,37 ( Figure 14). …”

“…The lymphangiomas are congenital malformations of the lymphatic system and are classified as capillaries, or cystic cavernous. 36,37 Patients are often asymptomatic, the diagnosis is incidental; When symptomatic, epigastric pain is the most common symptom. A palpable mass in the hypochondrium or left upper quadrant can also occur.…”

New light on the pancreatic cyst conundrum

“…As suggested by guidelines (8,9), and supported by the Mayo Clinic study (6), it is important to evaluate patients at time of cyst identification for signs and/or symptoms of pancreatic disease and to further evaluate cysts to ensure absence of any FPHR features. If any of these are present, then appropriate action including endoscopic ultrasound and fine needle aspiration and/or pancreatic surgery following the Fukuoka guidelines seem appropriate (3).…”