High-risk and worrisome features in intraductal papillary mucinous neoplasms
| High-risk features | Worrisome features |
|---|---|
| Main pancreatic duct size ≥ 10 mm | Main pancreatic duct size 5–9 mm |
| Obstructive jaundice and cyst in head of pancreas | Cyst ≥ 3 cm |
| Solid mass | Lymphadenopathy |
| Cancer or high-grade dysplasia on cytology | Elevated carbohydrate antigen 19-9 level |
| Mural nodule ≥ 5 mm | Mural nodule < 5 mm |
| Cyst growth ≥ 5 mm/2 years | |
| Change in caliber of main pancreatic duct with distal pancreatic atrophy | |
| Thickened or enhancing cyst walls | |
| New-onset diabetes mellitus |
Data from references 6 and 7.