Patient demographics and procedural details
Characteristics | N (%) |
Number of patients | 34 |
Female gender | 22 (65) |
Cyst characteristics | |
Size (mm), median (range) | 35 (10–90) |
Method of diagnosis | |
Incidental finding | 20 (59) |
Investigation for pain | 13 (38) |
Investigation for raised ALP | 1 (3) |
Already under surveillance | 16 (47) |
Location of cyst | |
Head | 13 (38) |
Body | 12 (35) |
Tail | 8 (24) |
Uncinate | 1 (3) |
Previous FNA | 6 (18) |
Worrisome features on EUS* | 25 (74) |
Procedural characteristics | |
Prophylactic antibiotics | 34 (100) |
Median number of forceps passes median (range) | 4 (1–10) |
Technical success | 34 (100) |
Specimen adequacy | 25 (74) |
Final diagnosis | |
IPMN | 12 (35) |
MCN | 6 (18) |
Inflammatory | 4 (12) |
Indeterminate | 4 (12) |
Lymphoepithelial cyst | 3 (9) |
SCN | 3 (9) |
NET | 2 (6) |
*Worrisome features were defined cyst size ≥3 cm, enhancing mural nodule ≥5 mm, thickened and enhancing cyst wall, main pancreatic duct (MPD) dilatation 5–9 mm, abrupt change in MPD calibre with distal pancreatic atrophy, presence of lymphadenopathy, elevated CA 19–9 or a cyst growth rate >5 mm/2 years.
ALP, alkaline phosphatase; EUS, endoscopic ultrasound; FNA, fine needle aspiration; IPMN, intraductal papillary mucinous neoplasm; MCN, mucinous cystic neoplasm; NET, neuroendocrine tumour; SCN, serous cystic neoplasm.