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Table 4 Follow-up strategies according to Fukuoka consensus guidelines

From: Cystic pancreatic lesions: MR imaging findings and management

Diameter of the greatest cyst

Follow-up

 < 1 cm

CT/MRI in 6 months

 

Then every 2 years if no change

1–2 cm

CT/MRI in 6 months

 

Yearly for 2 years

 

Then lengthen interval if no change

2–3 cm

EUS in 3–6 months

 

Then lengthen interval if no change alternating MRI with EUS

 

Consider surgery in young fit Patients with need for prolonged survival

 > 3 cm

Close surveillance alternating MRI with EUS every 3–6 months

 

Strongly consider surgery in young fit patients