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. Author manuscript; available in PMC: 2017 Oct 1.
Published in final edited form as: Clin Gastroenterol Hepatol. 2016 May 20;14(10):1376–1384. doi: 10.1016/j.cgh.2016.05.022

Table 2.

Summary of the Sendai Consensus Guidelines (SCG) and International Consensus Guidelines (ICG) for Selecting Patients with Pancreatic Cysts for Surgical Resection (refs. 19,20)

Guideline Criteria
SENDAI Consensus Guidelines
MD-IPMN MPD ≥10mm
SCG +ve
BD-IPMN
Size >3cm
Size ≤3cm with symptoms/mural nodules/MPD dilation
(>6mm)/+ve cytology
International Consensus Guidelines
High risk features Proximal lesion with obstructive jaundice
Enhancing nodules
Dilated main duct (≥10mm)
Worrisome risk features Size ≥3cm
Pancreatitis
Non-enhancing nodules
Thickened, enhancing walls
Dilated duct (5 to <10mm)
Change in duct caliber with distal atrophy
Lymphadenopathy

MPD: Main pancreatic duct; MD-IPMN: Main-duct intraductal papillary mucinous neoplasm; BD-IPMN: Branch-duct intraductal papillary mucinous neoplasm.