CONTEXT EUS with fine-needle aspiration and cyst fluid analysis is routinely used to evaluate pancreatic cysts; however, the clinical course of these lesions is often not well defined. OBJECTIVE Our study evaluated whether EUS imaging, cyst fluid CEA, and cytology combined with cyst fluid genetic analyses for allelic imbalance and genetic mutations can be used to better predict the malignant ...

BACKGROUND AND STUDY AIMS Endoscopic ultrasound (EUS) surveillance of patients with mucinous pancreatic cysts relies on the assessment of morphologic features suggestive of malignant transformation. These criteria were derived from the evaluation of surgical pathology in patients with pancreatic cysts who underwent surgery. Reliability of these criteria when evaluated by EUS in identifying lesi...

Imaging techniques, cytology, and biochemical analysis [including carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA 19-9) concentrations] of pancreatic cyst fluid obtained by endoscopic ultrasound-guided fineneedle aspiration are used to differentiate pancreatic cyst lesions, particularly those with malignant potential (1, 2 ). American College of Gastroenterology guidelines have...

evaluation and management of the asymptomatic pancreatic cyst. Ever more common, these cystic lesions frustrate gastro-enterologists, surgeons and patients alike. Existing consensus statements and societal guidelines have been based upon expert opinion and little evidence, frequently leaving physicians who care for these patients with more questions than answers. The recent American Gastroenter...

We herein demonstrate a case of a gastric-type duplication cyst of the pancreas with a bifid tail in a 1year-old girl, who presented as relapsing pancreatitis with pseudocyst formation. We reviewed the literature concerning pancreatic enteric duplication cysts with and without pancreatitis to search for causes of pancreatitis. The following new information was obtained: 1) The presence of a com...

CONTEXT Pancreatic pseudocyst of gastrohepatic or hepatoduodenal ligament and of liver is rare entity. Probably, pancreatic pseudocyst ascends via these ligaments to liver due to complex attachment of peritoneum. Very few cases have been reported in literature. CASE REPORT Hereby, we report a case of pancreatic pseudocyst of hepatoduodenal ligament in patient who presented with pain and lump ...

CONTEXT Imaging characterization is a frequent topic in diagnostic evaluation of patients with pancreatic cystic lesions. CASE REPORT We present a patient with a true pancreatic cyst with internal septation in an adult female. The presence of the internal septum should be considered in the differential diagnosis, in fact in our case CT and MR imaging findings were incorrectly suggestive of mu...

Background and study aims: Pancreatic cysts are common incidental findings, with an estimated prevalence of 13-15% in imaging done for other reasons. Diagnosis often relies on collection cyst fluid, but tissue sampling using micro-forceps may allow a more reliable diagnosis higher yield DNA next-generation sequencing (NGS). The primary aim was to assess the performance NGS identifying mucinous ...

Fusion variations of the pancreatic ducts were studied to elucidate the significance of such variations. We classified structural fusion anomalies of the main and accessory pancreatic ducts on endoscopic retrograde cholangio-pancreatography (ERCP) in 37 patients with anomalous arrangement of the pancreaticobiliary ductal system (AAPB). The fusion variations of the pancreatic ducts were classifi...

Macrocystic serous cystadenoma is an unusual and essentially benign pancreatic tumor. Herein, we report on a 40-year-old woman diagnosed with macrocystic serous cystadenoma who presented with obstructive jaundice. A cystic lesion in the head and body of the pancreas was revealed by abdominal computed tomography. Intraoperative pancreatic cyst aspiration ruled out mucinous cystic neoplasm which ...