Clinical approach to incidental pancreatic cysts

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 21, 2016; 22(3): 1236-1245
Published online Jan 21, 2016. doi: 10.3748/wjg.v22.i3.1236

Table 2 Recommended cyst fluid studies[28,33,34,40]

Cyst fluid test	Test characteristics	Diagnosis
String sign ≥ 1 cm, ≥ 1 s	95% specificity, 94% positive predictive value	Mucinous
Cyst fluid cytology	63% sensitivity	Mucinous or malignant
Cyst wall cytology	29% increased diagnostic yield	Mucinous or malignant
CEA > 192 ng/mL	75% sensitivity, 84% specificity	Mucinous
CEA < 5 ng/mL	50% sensitivity, 95% specificity	Serous cystadenoma, pseudocyst, cystic neuroendocrine tumor
Amylase < 250 U/L	44% sensitivity, 98% specificity	Excludes pseudocyst

Citation: Chiang AL, Lee LS. Clinical approach to incidental pancreatic cysts. World J Gastroenterol 2016; 22(3): 1236-1245
URL: https://www.wjgnet.com/1007-9327/full/v22/i3/1236.htm
DOI: https://dx.doi.org/10.3748/wjg.v22.i3.1236

Chiang AL, Lee LS. Clinical approach to incidental pancreatic cysts. World J Gastroenterol 2016; 22(3): 1236-1245 [PMID: 26811661 DOI: 10.3748/wjg.v22.i3.1236]

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