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. 2015 Nov;3(19):286. doi: 10.3978/j.issn.2305-5839.2015.11.09

Table 1. Predictors of malignancy in branch duct IPMN.

Category Sendai consensus Fukuoka consensus
High-risk stigmata Presence of mural nodules; MPD >6 mm; symptoms; positive cytology (cyst size >3 cm)§ Enhanced mural nodules; MPD ≥10 mm; jaundice associated with a cystic mass in pancreatic head
Worrisome features Cyst size ≥3 cm; thickened enhanced cyst walls; MPD 6-9 mm; non-enhanced mural nodules; MPD stenosis with distal pancreatic atrophy; adjacent lymphadenopathy

§, cyst size >3 cm is not an absolute indicator of malignancy until more evidences are available. IPMN, intraductal papillary mucinous neoplasm; MPD, main pancreatic duct.