a pancreatic protocol CT scan or magnetic resonance cholangiopancreatography (MRI/MRCP) should be offered to people with pancreatic cysts. If more information is needed after one of these tests, offer the other one
refer people with any of these high-risk features for resection:
obstructive jaundice with cystic lesions in the head of the pancreas
enhancing solid component in the cyst
a main pancreatic duct that is 10 mm diameter or larger
EUS after CT and MRI/MRCP should be offered if more information on the likelihood of malignancy is needed, or if it is not clear whether surgery is needed
consider fine-needle aspiration during EUS if more information on the likelihood of malignancy is needed
when using fine-needle aspiration, perform carcinoembryonic antigen (CEA) assay in addition to cytology if there is sufficient sample.
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.