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.