Danish consensus guideline for pancreatic intraductal papillary mucinous neoplasms favors magnetic resonance imaging and selective surgery

Danish guideline: magnetic resonance imaging with magnetic resonance cholangiopancreatography is primary imaging for pancreatic intraductal papillary mucinous neoplasms; surgery for cysts >30 mm or main/mixed-type high-risk features; stop surveillance in stable older patients.

• The Danish Pancreatic Cancer Group multidisciplinary working group (radiologists and pancreatic surgeons) recommends MRI/MRCP as the primary modality, with computed tomography (CT) and endoscopic ultrasound used selectively.
• Risk stratification is based on high-risk stigmata and worrisome features, with emphasis on interval changes during follow-up; surveillance is size-based and individualized by age, comorbidities, and surgical eligibility.
• Surgical evaluation is recommended for cysts larger than 30 mm and for main-duct or mixed-type intraductal papillary mucinous neoplasms (IPMN) with high-risk features, with a more selective approach for branch-duct IPMN; surveillance can stop in selected stable older patients.

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.