How are incidentally detected pancreatic cystic lesions generally managed?
Pancreatic cystic lesions that are >3 cm in size, have mural nodules or solid enhancing components, or are associated with main pancreatic duct dilation are more likely malignant in nature and therefore are generally managed with tissue sampling (fluid aspiration) followed by surgical resection (when appropriate). Pancreatic cystic lesions that are ≤ 3 cm in size, have no mural nodules or solid enhancing components, are not associated with main pancreatic duct dilation, and are asymptomatic are more likely benign in nature and therefore are generally managed more conservatively with CT or MR imaging follow-up.
