Endoscopic And Fluid Analysis Risk Factors For High Grade Dysplasia And Malignancy In Pancreatic Cysts

The recent American Gastroenterological Association Institute Guideline on the Diagnosis and Management of Asymptomatic Neoplastic Pancreatic Cysts, recommend EUS-FNA for pancreatic cysts that are > 3cm, have an associated solid component and/or pancreatic duct dilation. Patients with high-grade dysplasia (HGD) or malignancy on cytology are referred for surgery. Data supporting these recommendations come from surgical series and as such represent a subset of patients undergoing evaluation. Furthermore, strong evidence supporting pancreatic dilation as a risk factor is lacking.