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Incidental, Small (< 3 cm), Unilocular, Pancreatic Cysts: Factors That Predict Lesion Progression during Imaging Surveillance
Korean j. radiol ; Korean j. radiol;: 915-925, 2017.
Article de En | WPRIM | ID: wpr-191314
Bibliothèque responsable: WPRO
ABSTRACT
OBJECTIVE: To explore the features that predict size increase and development of potential malignant features in incidentally detected, unilocular cystic pancreatic lesions (CPLs) less than 3 cm in diameter, during subsequent follow-up. MATERIALS AND METHODS: We retrieved data of patients diagnosed with unilocular CPLs less than 3 cm in diameter during the period from November 2003 through December 2014, using a computerized search. All serial CT and MR images were analyzed to identify the number, size, and location of CPLs; dilatation of the main pancreatic duct; and occurrence of worrisome features and high-risk stigmata of malignancy in the lesion. The characteristics of CPLs were compared between the increase (i.e., size increase during subsequent follow-up) and no-increase groups. For CPLs in the increase group, subgroup analysis was performed according to the lesion size at the last follow-up (< 3 cm vs. ≥ 3 cm). RESULTS: Among 553 eligible patients, 132 (23.9%) had CPLs that increased in size, and 421 (76.1%) had CPLs that did not, during follow-up. Of the 132, 12 (9.1%) CPLs increased to diameters ≥ 3 cm at the final follow-up. Among the various factors, follow-up duration was a significant independent factor for an interval size increase of CPLs (p < 0.001). In the increase group, initial cyst size was a significant independent factor to predict later size increase to or beyond 3 cm in diameter (p < 0.001), and the initial cyst diameter ≥ 1.5 cm predicted such a growth with a sensitivity and specificity of 83% and 72%, respectively. No significant factors to predict the development of potential malignant features were identified. CONCLUSION: Follow-up duration was associated with an interval size increase of CPLs. Among the growing CPLs, initial cyst size was associated with future lesion growth to and beyond 3 cm.
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Texte intégral: 1 Indice: WPRIM Sujet Principal: Pancréas / Kyste du pancréas / Conduits pancréatiques / Facteurs de risque / Études de suivi / Christianisme / Sensibilité et spécificité / Dilatation Type d'étude: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limites du sujet: Humans langue: En Texte intégral: Korean j. radiol Année: 2017 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Pancréas / Kyste du pancréas / Conduits pancréatiques / Facteurs de risque / Études de suivi / Christianisme / Sensibilité et spécificité / Dilatation Type d'étude: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limites du sujet: Humans langue: En Texte intégral: Korean j. radiol Année: 2017 Type: Article