Management of main-duct IPMN

IPMN: intraductal pancreatic mucinous neoplasm; MRCP: magnetic resonance cholangiopancreatography; CT: computed tomography; EUS: endoscopic ultrasound; FNA: fine-needle aspiration.
* For patients with multiple cysts, each lesion is managed as it would be if it were the only lesion. This algorithm reflects the authors' approach to management, which is generally consistent with published guidelines. Refer to UpToDate topic reviews on IPMN management for additional details.
¶ The decision to recommend surgery should take into account factors such as the patient's age and general health, the malignant risk of the specific lesion, and the suspicion for malignancy.
Δ Provided the patient remains a good surgical candidate.