Role of Pancreatic Juice Cytology in the Preoperative Management of Intraductal Papillary Mucinous Neoplasm of the Pancreas in the Era of International Consensus Guidelines 2012

摘要: Routine endoscopic retrograde pancreatography (ERP) for pancreatic juice cytology (PJC) during management of intraductal papillary mucinous neoplasm (IPMN) is not recommended in the international consensus guidelines 2012. The aim present study was to investigate roles PJC relation new stratification clinical findings Medical records 70 consecutive patients who underwent preoperative PJC, subsequent pancreatectomy, and a pathological diagnosis IPMN were reviewed. Diagnostic ability detect malignant lesions calculated by findings. Forty had lesions, including 29 with IPMN, 10 concomitant adenocarcinoma, one both. Accuracies all 59 alone 77 80 %, respectively. sensitivity accuracy “worrisome features” 100 94 %, Eight 11 adenocarcinoma non-malignant without risk factors, 3 significant could be diagnosed only ERP/PJC. In addition, plan based on imaging changed from observation resection two single feature” branch duct positive results. As result, altered 5 patients. Pancreatic potentially has important determine adequate treatment choice IPMNs features,” that detected other modalities.