Cystic pancreatic lesions: current evidence for diagnosis and treatment

Josefin Björk Werner, Anna Bartosch-Härlid, Roland Andersson

Research output: Contribution to journalReview articlepeer-review


Pancreatic cystic neoplasms are detected at an increasing frequency due to an increased use and quality of abdominal imaging. There are well known differential diagnostic difficulties concerning these lesions. The aim is to review current literature on the diagnostic options and the following treatment for cystic lesions in the pancreas focusing on serous cystadenomas, primary mucinous neoplasm of the pancreas and mucinous cystadenocarcinomas, as well as intraductal papillary mucinous neoplasms, starting with excluding pseudocysts. A conservative approach is feasible in patients with a clinical presentation suggestive of an asymptomatic serous cystadenoma. Surgical management, as well as follow-up, is discussed for each of the types of neoplastic lesions, including an uncharacterized cyst, based on patient data, symptoms, serum analysis, cyst fluid analysis and morphological features. Aspects for future diagnostics and management of these neoplasia are commented upon.

Original languageEnglish
Pages (from-to)773-788
Number of pages16
JournalScandinavian Journal of Gastroenterology
Issue number7-8
Publication statusPublished - 2011

Subject classification (UKÄ)

  • Gastroenterology and Hepatology


  • Diagnosis, Differential
  • Humans
  • Neoplasms, Cystic, Mucinous, and Serous/diagnosis
  • Pancreatic Neoplasms/diagnosis
  • Pancreatic Pseudocyst/diagnosis
  • Watchful Waiting


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