Original Article

Diagnostic and Predictive Features of Pancreatic Cysts Using Endoscopic Ultrasound: A Retrospective Analysis from a Single Centre

Volume 36 · Issue 12 Publish Date: June 23, 2025
Ayşegül Dumludağ ORCID Mehmet Cindoruk ORCID
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Turkish Journal of Gastroenterology

Volume 36 · Issue 12

Pages: 852-857

History

Published Online: June 23, 2025

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2025 Ayşegül Dumludağ, Mehmet Cindoruk

Ayşegül Dumludağ ORCID
Department of Internal Medicine, Division of Medical Oncology, Erzurum City Hospital, Erzurum, Türkiye
Mehmet Cindoruk ORCID
Department of Internal Medicine, Division of Gastroenterology,Gazi University Faculty of Medicine, Ankara, Türkiye
Dumludağ, A., & Cindoruk, M. (2025). Diagnostic and Predictive Features of Pancreatic Cysts Using Endoscopic Ultrasound: A Retrospective Analysis from a Single Centre. Turkish Journal of Gastroenterology, 36(12), 852–857. https://doi.org/10.5152/tjg.2025.24486
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Abstract

Background/Aims: Endoscopic ultrasound (EUS) has become an increasingly important tool in modern medicine, particularly in the diagnosis and treatment of pancreatic pathologies. The aim of this study is to elucidate the diagnostic and predictive roles of EUS in pancreatic cysts.

Materials and Methods: Patients who underwent EUS for various clinical indications were retrospectively analyzed. Among them, the detailed characteristics of pancreatic cysts identified during the procedures were documented from the patients’ medical records.

Results: A total of 1146 patients were included in the study, with a mean age of 56.4 years; 51.7% were female and 48.3% were male. Endoscopic ultrasound was primarily used to evaluate pancreatic lesions, focusing on cysts. Of a total of 200 pancreatic cysts evaluated pathologically, 74% (148) were benign, 24.5% (49) were malignant, and 1.5% (3) were borderline. No significant correlation was found between cyst size and malignancy (P = 1.00). However, malignancy rates significantly varied according to ultrasonographic characteristics, including simple cysts, mixed-type cysts (with solid components), pseudocysts, and infected cysts. The malignancy rate was significantly higher in mixed-type cysts (with solid components) (P = .0001). The presence of cyst-associated lymphadenopathy was also statistically significant for suspicion of malignancy (P = .005).

Conclusion: This study highlights the importance of early diagnosis or surgical intervention for pancreatic cysts with mixed-type characteristics and associated lymph nodes. This underscores the need to prioritize triage for these patients.

 

Cite this article as: Dumludağ A, Cindoruk M. Diagnostic and predictive features of pancreatic cysts using endoscopic ultrasound: A retrospective analysis from a single centre. Turk J Gastroenterol. 2025;36(12):852-857.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 36 · Issue 12
Pages 852-857
DOI 10.5152/tjg.2025.24486
History
Published Online June 23, 2025
License
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright
Copyright (c) 2025 Ayşegül Dumludağ, Mehmet Cindoruk
Affiliations
Ayşegül Dumludağ ORCID
Department of Internal Medicine, Division of Medical Oncology, Erzurum City Hospital, Erzurum, Türkiye
Mehmet Cindoruk ORCID
Department of Internal Medicine, Division of Gastroenterology,Gazi University Faculty of Medicine, Ankara, Türkiye
Cite this Article
Dumludağ, A., & Cindoruk, M. (2025). Diagnostic and Predictive Features of Pancreatic Cysts Using Endoscopic Ultrasound: A Retrospective Analysis from a Single Centre. Turkish Journal of Gastroenterology, 36(12), 852–857. https://doi.org/10.5152/tjg.2025.24486
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