Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 43: Do All Pancreatic Cysts Need Eus Imaging, And Do They All Need To Be Aspirated For Analysis? Are There Even Standard Criteria To Determine Their Origins? (continued)

William R. Brugge, MD; Won Jae Yoon, MD

Pancreatic cystic lesions often present a dilemma to the clinician. These lesions are being discovered more frequently due to the rise in the use of cross-sectional imaging for evaluation of other disease processes. A minority of these lesions will present with symptoms. The main concern on finding any pancreatic cystic lesion is whether or not a malignancy is present; thus, further investigation is often warranted. However, debate remains on the appropriate evaluation algorithm. Endoscopic ultrasound (EUS) offers high-resolution imaging of cystic lesions and is able to direct fine needle…