2020
DOI: 10.1016/j.dld.2020.02.003
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Epidemiology, clinical features and diagnostic work-up of cystic neoplasms of the pancreas: Interim analysis of the prospective PANCY survey

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Cited by 22 publications
(17 citation statements)
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References 22 publications
(28 reference statements)
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“…PCLs are a heterogeneous family of lesions; some show benign behavior and others have unequivocal malignant potential and thus are considered a precursor of pancreatic cancer. The increased use of cross-sectional imaging, CT and MRI, has increased the reporting of incidental PCLs by up to 45%[ 2 ]. A key element of optimal clinical management of PCLs is identification of the small minority of cysts with early invasive cancer or high-grade dysplasia, and possibly the prediction of patients who will develop them in the future.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…PCLs are a heterogeneous family of lesions; some show benign behavior and others have unequivocal malignant potential and thus are considered a precursor of pancreatic cancer. The increased use of cross-sectional imaging, CT and MRI, has increased the reporting of incidental PCLs by up to 45%[ 2 ]. A key element of optimal clinical management of PCLs is identification of the small minority of cysts with early invasive cancer or high-grade dysplasia, and possibly the prediction of patients who will develop them in the future.…”
Section: Discussionmentioning
confidence: 99%
“…Pancreatic cystic lesions (PCLs) are considered a precursor of pancreatic cancer, as some have malignant potential and therefore should be evaluated carefully. However, other PCLs exhibit benign behavior with no surveillance required[ 2 - 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…From a practical point of view, the premalignant lesions frequently come in the form of an incidental pancreatic cyst detected on cross-sectional imaging usually done for another medical indication in otherwise asymptomatic persons. 4 The prevalence of an incidentally detected cyst varies with geographic region (3 times higher in the United States compared to Asian countries), with the population studied (higher in the elderly population), and with the imaging modality used (higher with use of MRI compared to CT). 5 Incidental pancreatic cysts are estimated to occur on 3%-20% of all abdominal imaging scans.…”
Section: Premalignant Conditions Of the Pancreasmentioning
confidence: 99%
“…Of note, the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Association for the Study of the Pancreas (AISP), are currently involved in a survey to prospectively validate their guidelines, which foresees surgery in the presence of an enhancing solid component within the cyst or main duct > 10 mm in asymptomatic patients [63]; preliminary data are encouraging in producing a reliable real-life diagnostic workup and management of PCNs [64].…”
Section: State-of-the-art Managementmentioning
confidence: 99%
“…Although they can be found in any IPMN subtype, GNAS mutations are more frequently observed in the intestinal subtype [77,78]. Interestingly, GNAS has also been shown to harbor tumor-suppressor gene abilities in other tumors [79,80], suggesting that the output of GNAS mutations is highly contextual in cancers [63,64].…”
Section: Genetics and Molecular Pathwaysmentioning
confidence: 99%