Behind the knife
Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts
Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts
Anish J. Jain MD (@anishjayjain) is a current PGY4 General Surgery resident at Stanford University and a former T32 Research Fellow at the University of Texas MD Anderson Cancer Center.
Learning Objectives
· Develop an understanding of the clinical presentation, diagnostic work-up, and treatment of benign pancreatic cysts
· Develop an understanding of the clinical presentation, diagnostic work-up, and treatment of pre-malignant pancreatic cysts
· Develop an understanding of when surveillance is appropriate for management of pancreatic cysts, and the criteria involved in making that determination
· Develop an understanding of the prognostic utility of PancSeq for IPMNs
References:
- Paniccia A, Polanco PM, Boone BA, et al. Prospective, Multi-Institutional, Real-Time Next-Generation Sequencing of Pancreatic Cyst Fluid Reveals Diverse Genomic Alterations That Improve the Clinical Management of Pancreatic Cysts. Gastroenterology. 2023 Jan;164(1):117-133.e7.
- PubMed Link: https://pubmed.ncbi.nlm.nih.gov/36209796/
- Ohtsuka T, Fernandez-Del Castillo C, Furukawa T, et al. International evidence-based Kyoto guidelines for the management of intraductal papillary mucinous neoplasm of the pancreas. Pancreatology. 2024 Mar;24(2):255-270.
- PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38182527/
- Zelga P, Hernandez-Barco YG, Qadan M, et al. Number of Worrisome Features and Risk of Malignancy in Intraductal Papillary Mucinous Neoplasm. J Am Coll Surg. 2022 Jun 1;234(6):1021-1030.
- PubMed Link: https://pubmed.ncbi.nlm.nih.gov/35703792/
- Ciprani D, Weniger M, Qadan M, et al. Risk of malignancy in small pancreatic cysts decreases over time. Pancreatology. 2020 Sep;20(6):1213-1217.
- PubMed Link: https://pubmed.ncbi.nlm.nih.gov/32819844/
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