Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 42: How Do We Manage A Patient With A 10-Cm Pseudocyst Who Is Currently Asymptomatic? (continued)

Richard A. Kozarek, MD

Pseudocyst size is less important than the clinical context of the patient. How certain are you that the cystic lesion noted on computed tomography (CT) scan or ultrasound (US) imaging is actually a pseudocyst? For instance, a middle-aged female patient with vague abdominal symptoms who is found to have a cystic mass of any size on abdominal imaging is much more likely to have a cystic neoplasm if there has been no antecedent history of pancreatitis. Likewise, patients with intraductal papillary mucinous neoplasm (IPMN) or mucinous cystadenoma of the pancreas (a premalignant condition) can…
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