AGA Update: When to Stop Pancreatic Cyst and Liver Cancer Surveillance in Older Adults

For patients >65 with stable low-risk pancreatic cysts (≤15 mm, no growth for 5 yrs), surveillance can be discontinued. HCC surveillance should stop if life expectancy <1-2 yrs. AGA update.

• Patients >75 with stable pancreatic cysts <30 mm for 5 years without worrisome features should discuss discontinuing surveillance.
• In resected high-grade dysplasia, MRI/MRCP surveillance every 6 months for 2 years then annually only if surgical candidate; cessation considered after 5 years stability.
• HCC surveillance in older adults with cirrhosis should cease if life expectancy is <1-2 years due to comorbidities, functional decline, or decompensation where transplant is not an option.

Automated summary

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