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🔮Pancreatic cysts: What's in the Juice by #YanBi from #MayoFL #IMPACT #gitwitter
🎯Pancreatic Cysts Incidence 📈with ↑imaging
🌟90% of P-Cysts are IPMNs (Intraductal Papillary Mucinous Neoplasms)
-70% IPMNs are BD-IPMN (branch duct)
-30% IPMNs are MD-IPMN (main duct)
🎯Pancreatic Cysts Incidence 📈with ↑imaging
🌟90% of P-Cysts are IPMNs (Intraductal Papillary Mucinous Neoplasms)
-70% IPMNs are BD-IPMN (branch duct)
-30% IPMNs are MD-IPMN (main duct)
🔮Benign cysts (observation/drainage/sx)
- Pseudocyst
- Serous cystadenoma
⁉️Pre-malignant (observation/sx)
- IPMN
- MCN (mucinous cystic neoplams)
🦀Malignant (sx)
- Cystic neuroendocrine tumor (CNET)
- Solid pseudopapillary neoplasm (SPN)
- Cystic degeneration of PDAC
- Pseudocyst
- Serous cystadenoma
⁉️Pre-malignant (observation/sx)
- IPMN
- MCN (mucinous cystic neoplams)
🦀Malignant (sx)
- Cystic neuroendocrine tumor (CNET)
- Solid pseudopapillary neoplasm (SPN)
- Cystic degeneration of PDAC
🎯Cyst fluid CEA >192 distinguishes between mucinous vs. non-mucinous BUT not malignant vs. non-malignant ($$$)
🌟Cyst fluid glucose <50 costs significantly ↓ & does the same as CEA
🎖️CEA and glucose can be combined for even higher sensitivity and specificity
🌟Cyst fluid glucose <50 costs significantly ↓ & does the same as CEA
🎖️CEA and glucose can be combined for even higher sensitivity and specificity
