Management of Incidental Pancreatic Cysts

Flowchart (Chart 1) specifying the management of incidental pancreatic cysts <1.5 cm. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct.

Flowchart (Chart 2) specifying the management of incidental pancreatic cysts 1.5-2.5 cm, when main pancreatic duct (MPD) communication can be established (A), and when MPD communication is absent or cannot be determined (B). cPNET = cystic pancreatic neuroendocrine tumor; EUS = endoscopic ultrasound; FNA = fine needle aspiration; SCA = serous cystadenoma.

Flowchart (Chart 2) specifying the management of incidental pancreatic cysts 1.5-2.5 cm, when main pancreatic duct (MPD) communication can be established (A), and when MPD communication is absent or cannot be determined (B). cPNET = cystic pancreatic neuroendocrine tumor; EUS = endoscopic ultrasound; FNA = fine needle aspiration; SCA = serous cystadenoma.

Flowchart (Chart 3) specifying the management of incidental pancreatic cysts >2.5 cm. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct; SCA = serous cystadenoma.

Flowchart (Chart 4) specifying the management of incidental pancreatic cysts in patients ≥80 years old at presentation. EUS = endoscopic ultrasound; FNA = fine needle aspiration; MPD = main pancreatic duct; SCA = serous cystadenoma.