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Endoscopic Imaging Study

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Abstract Intraductal Mucinous Neoplasms and Mucinous Cyst Neoplasms are two distinct entities used in categorizing non-inflammatory cystic lesions of the pancreas. Utilization of the International Consensus Guidelines for the diagnosis and treatment of IPMN and MCN assist physicians in the management of these cystic lesions while proving the highest quality of care. Introduction Intraductal Papillary Mucinous Neoplasms (IPMN) are tumors that grow within the pancreatic duct that produce thick fluid. This tumor can be classified as main duct IPMN or branch duct IPMN. The classification between main duct IPMN and branch duct IPMN are based on imaging studies as well as histology. In imaging studies some cysts at times display involvement within …show more content…

Using the findings in the Endoscopic Ultrasound Record, we can establish what criteria the patient appropriately fit into and will assist in classifying the next step in treating the cyst. The EUS Record will explain the size of the cyst and where it is located as well as behavior of the cyst that will reveal the criteria in managing the cyst. The EUS Record will specify if the cyst is high risk stigmata by describing whether the cyst has mural nodes, dilated main duct and a positive …show more content…

CT or MRI is recommended for cysts larger than 1 cm in order to be categorized for high risk stigmata. An MRI is typically more detailed than CT and will illustrate the cystic nature of the pancreatic lesion as well as the internal structure of the cyst. Follow up MRI images will reveal any changes in the cystic lesion as well as any abnormalities. The patient charts and radiologic images will advise the physician in the status of the cyst in addition to changes in symptoms being experienced by the patient. Pancreatic cysts that present high risk stigmata should be considered for resection if patient is medically fit for surgery. The surgical pathology specifies their diagnosis post operation. While monitoring patients in the Cyst Surveillance Program, the EUS specifies cyst diameter and findings. Depending on the condition of the cyst and if they show any worrisome features, 6 months or yearly follow ups are necessary.

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