NICE guidance - pancreatic cysts (pancreas cyst)
Last edited 04/2018
People with pancreatic cysts
- 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.
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