Gastroenterology Review
eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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3/2025
vol. 20
 
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abstract:
Special paper

Diagnostic and therapeutic guidelines for pancreatic cystic tumors: recommendations of Polish Pancreatic Club experts

Łukasz Durko
1
,
Michał Lipiński
2
,
Krystian Adrych
3
,
Jarosław Daniluk
4
,
Andrzej Dąbrowski
4
,
Adam Durczyński
5
,
Anita Gąsiorowska
6
,
Stanisław Głuszek
7
,
Marek Hartleb
8
,
Piotr Hogendorf
5
,
Mateusz Jagielski
9
,
Kamil Jaszczuk
10
,
Grażyna Jurkowska
4
,
Katarzyna Kuśnierz
11
,
Ewa Małecka-Wojciesko
1
,
Agnieszka Mądro
12
,
Sławomir Mrowiec
11
,
Ewa Nowakowska-Duława
8
,
Grzegorz Oracz
13
,
Marcin Polkowski
14
,
Jarosław Reguła
14
,
Grażyna Rydzewska
10
,
Anna Wiechowska-Kozłowska
15
,
Renata Talar-Wojnarowska
1

  1. Department of Digestive Tract Diseases, Medical University of Lodz, Poland
  2. Center for the Diagnosis and Treatment of Pancreatic Diseases, Med-Gastr Medical Center, Lodz, Poland
  3. Department of Gastroenterology and Hepatology, Medical University of Gdansk, Poland
  4. Department of Gastroenterology and Internal Medicine, Medical University of Bialystok, Poland
  5. Department of General and Transplant Surgery, Medical University of Lodz, Poland
  6. Department of Gastroenterology, Medical University of Lodz, Central University Hospital, Lodz, Poland
  7. Department of Surgery, Hospital of the Ministry of Interior and Administration, Kielce, Poland
  8. Department of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland
  9. Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
  10. Department of Gastroenterology and Internal Medicine, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland
  11. Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland
  12. Department of Gastroenterology and Hepatology with Endoscopic Unit, Medical University of Lublin, Poland
  13. Department of Gastroenterology, Hepatology, Feeding Disorders and Pediatrics The Children’s Memorial Health Institute, Warsaw, Poland
  14. Department of Gastroenterology, Hepatology and Clinical Oncology, Center of Postgraduate Medical Education, Warsaw, Poland
  15. Endoscopy Unit, Hospital of the Ministry of Interior and Administration, Szczecin, Poland
Gastroenterology Rev 2025; 20 (3): 223–240
DOI: https://doi.org/10.5114/pg.2025.154686
Online publish date: 2025/09/25
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The diagnosis, treatment, and follow-up of pancreatic cystic tumors require a careful expert consensus approach due to their diverse nature and variable potential for malignancy. In view of these challenges, a panel of experts from the Polish Pancreatic Club has developed comprehensive recommendations. These guidelines are based on the most recent literature data and reflect current advances in diagnostic imaging and therapeutic interventions. The panel conducted an extensive review of available publications, meticulously formulating each recommendation and subsequently voting on them using the GRADE system (providing the quality of evidence and recommendation strength for each statement). The guidelines emphasize the importance of advanced imaging modalities (such as computed tomography, magnetic resonance, and endoscopic ultrasound), fine needle aspiration biopsy in selected situations and applicable laboratory tests to improve diagnostic accuracy. Furthermore, treatment strategies are carefully tailored to match individual risk profiles and specific lesion characteristics. Management options range from conservative treatment with routine follow-up examinations to surgical interventions when clinical indications require such an approach. Overall, these expert recommendations provide clinicians with a valuable and reliable framework, firmly anchored in current scientific data and consensus among specialists, for effectively managing pancreatic cystic tumors in clinical practice. Ultimately, these guidelines will lead to improved patient outcomes.
keywords:

pancreatic cystic neoplasms, mucinous cystic neoplasm, intraductal papillary mucinous neoplasm, recommendations
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