Management
Î The AGA suggests against continued surveillance of
pancreatic cysts if there has been no significant change in
the characteristics of the cyst after 5 years of surveillance or
if the patient is no longer a surgical candidate. (Conditional;
Very Low Quality of Evidence)
Î The AGA suggests that patients with both a solid component
and a dilated pancreatic duct and/or concerning features on
EUS and FNA should undergo surgery to reduce the risk of
mortality from carcinoma. (Conditional; Very Low Quality of
Evidence)
Î The AGA recommends that if surgery is considered for
a pancreatic cyst, patients are referred to a center with
demonstrated expertise in pancreatic surgery. (Strong; Very
Low Quality of Evidence)
Î The AGA suggests that patients with invasive cancer or
dysplasia in a cyst that has been surgically resected should
undergo MRI surveillance of any remaining pancreas every 2
years. (Conditional; Very Low Quality of Evidence)
Î The AGA suggests against routine surveillance of pancreatic
cysts without high-grade dysplasia or malignancy at surgical
resection. (Conditional; Very Low Quality of Evidence)