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Gastroenterology Research and Practice
Volume 2012 (2012), Article ID 513163, 7 pages
http://dx.doi.org/10.1155/2012/513163
Review Article

Interdisciplinary Management of Cystic Neoplasms of the Pancreas

1Interdisciplinary Management of Pancreatic Cystic Tumors (IMPACT) Clinic, Fish Center for Women’s Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
2Center for Pancreatic Disease, Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
3Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA

Received 6 July 2012; Accepted 17 September 2012

Academic Editor: Michael Bouvet

Copyright © 2012 Linda S. Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cystic neoplasms of the pancreas are increasingly recognized due to the frequent use of abdominal imaging. It is reported that up to 20% of abdominal cross-sectional scans identify incidental asymptomatic pancreatic cysts. Proper characterization of pancreatic cystic neoplasms is important not only to recognize premalignant lesions that will require surgical resection, but also to allow nonoperative management of many cystic lesions that will not require resection with its inherent morbidity. Though reliable biomarkers are lacking, a wide spectrum of diagnostic modalities are available to evaluate pancreatic cystic neoplasms, including radiologic, endoscopic, laboratory, and pathologic analysis. An interdisciplinary approach to management of these lesions which incorporates recent, specialty-specific advances in the medical literature is herein suggested.