Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

Question 22: My Patient Is A Middle-Aged Woman With An Asymptomatic 5-Cm Fluid-Filled Cyst In The Tail Of The Pancreas, Found Incidentally On Abdominal Computed Tomography Scanning. What To Do Next? (continued)

Nison Badalov, MD; Scott Tenner, MD, MPH

Cystic lesions of the pancreas are common. The differential exam is broad and includes benign serous cysts, premalignant mucinous cysts, including intraductal papillary mucinous tumors, cystic pancreatic cancers, lymphoma, and islet cell tumors. Pancreatic cystic lesions are being found with increasing frequency due to more widespread imaging of the abdomen. Most of these cystic lesions of the pancreas are clinically irrelevant and less than 1 cm in size. However, cystic lesions greater than 2 cm in diameter require more attention as they may represent mucin-producing neoplasms. Mucinous…