a pancreatic protocol CT scan or magnetic resonance cholangiopancreatography (MRI/MRCP) should be offered to people with pancreatic cysts. If more information is needed after one of these tests, offer the other one
refer people with any of these high-risk features for resection:
obstructive jaundice with cystic lesions in the head of the pancreas
enhancing solid component in the cyst
a main pancreatic duct that is 10 mm diameter or larger
EUS after CT and MRI/MRCP should be offered if more information on the likelihood of malignancy is needed, or if it is not clear whether surgery is needed
consider fine-needle aspiration during EUS if more information on the likelihood of malignancy is needed
when using fine-needle aspiration, perform carcinoembryonic antigen (CEA) assay in addition to cytology if there is sufficient sample.
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