Small pancreatic cysts turn up on abdominal scans and are then followed for life. Low-risk cysts under 2 cm that are unchanged at five years rarely turn to cancer in Japanese and US cohorts, so a randomised trial of stopping surveillance would test whether years of scans can be spared.
Low-risk branch-duct IPMN under 2 cm that is stable at five years has low malignancy rates in Japanese and US cohorts, but guidelines diverge. Propose a randomised trial of surveillance cessation versus continued surveillance for stable low-risk cysts, with pancreatic cancer incidence and imaging burden as endpoints.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms, MRI.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Intraductal papillary mucinous neoplasm and other pancreatic cystic precursors, Pancreatic ductal adenocarcinoma.