Intraductal Papillary Mucinous Tumor Of The Pancreas A Pictorial Essay

Intraductal Papillary Mucinous Tumor Of The Pancreas A Pictorial Essay-37
Surveillance tools and follow-up intervals of incidental PCLs; Section 3. Seven investigators assessed potentially relevant articles for eligibility.The study group members were organized, and each team was assigned one candidate issue.

Surveillance tools and follow-up intervals of incidental PCLs; Section 3. Seven investigators assessed potentially relevant articles for eligibility.The study group members were organized, and each team was assigned one candidate issue.

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The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing due to the widespread use of diagnostic imaging, including computed tomography (CT) and magnetic resonance imaging (MRI).

The reported incidence rate of PCLs ranges from 13.5% to 19.6% and is 24.3% at autopsy ().

Literature searches were carried out by a specialist librarian (P. We also reviewed existing recommendations/guidelines on incidental PCLs. We categorized the candidate issues into three sections: Section 1.

Diagnosis and risk stratification of incidental PCLs; Section 2.

Radiologic examinations including computed tomography and magnetic resonance imaging with magnetic resonance cholangiopancreatography have been widely used as the main diagnostic and surveillance methods for patients with incidental PCLs.

Although most incidentally detected PCLs are considered benign, they have the potential to become malignant.The modified Delphi method, which allows participants to express their agreement for a particular key question with one or two recommendations, was based on a six-point scale: strongly agree, agree with minor reservation, agree with major reservation, disagree with minor reservation, disagree with major reservation, and strongly disagree.The consensus level was predefined as ≥ 80% of the sum of the votes in favor of strongly agree or agree with minor reservation. Following the first round of voting among the study group members, the questionnaire was refined by the study group members and the KSAR Study Group for Pancreatic Cancer at one face-to-face meeting, and we modified 14 questions with 16 recommendations.In fact, there are several ambiguous definitions (e.g., mural nodules, ductal dilatation, and size change), which create some confusion.To this end, the Korean Society of Abdominal Radiology (KSAR) study group for incidental PCLs has developed expert consensus recommendations regarding essential items for imaging diagnosis and the management of incidental PCLs.PCLs form a heterogeneous group of tumors ranging from benign to premalignant or malignant.Although most incidentally detected PCLs are considered benign, particularly those that are small in size, they have the potential to become malignant.These recommendations primarily focus on imaging diagnosis and the risk stratification of incidental PCLs, surveillance tools and follow-up intervals, and post-operative surveillance of incidental PCLs.The KSAR study group for incidental PCLs comprised 10 board-certified abdominal radiologists from 7 different hospitals in South Korea.Corresponding author: Jung Hoon Kim, MD, Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.Tel: (822) 2072-1969, Fax: (822) 743-6385, The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing.

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