%0 Journal Article
%T Differential diagnosis of pancreatic cysts: A prospective study on the role of intra-cystic glucose concentration.
%A Ribaldone DG
%A Bruno M
%A Gaia S
%A Cantamessa A
%A Bragoni A
%A Caropreso P
%A Sacco M
%A Fagoonee S
%A Saracco GM
%A De Angelis C
%J Dig Liver Dis
%V 52
%N 9
%D 09 2020
%M 32675041
%F 5.165
%R 10.1016/j.dld.2020.06.038
%X The accuracy and costs of current diagnostic methods in the differential diagnosis of pancreatic cystic lesions still has ample room for improvement.<BR>The aim of the study was to confirm the diagnostic yield of intracystic glucose in the diagnosis of pancreatic cyst subtypes.<BR>We prospectively recruited all patients who underwent Endoscopic Ultrasound with Fine Needle Aspiration of pancreatic cyst at our Institution.<BR>Fifty-six patients were included in the study. We found that intracystic glucose concentration < 50 mg/dL was significantly more sensitive than a concentration of Carcinoembryonic Antigen > 192 ng/mL (93.6% vs 54.8%; p = 0.003) for the diagnosis of mucinous cysts. In terms of specificity, the two markers were not different (96% vs 100%; p = 1). Regarding the diagnosis of non-mucinous cysts, intracystic glucose concentration ≥ 50 mg/mL showed higher sensitivity than Carcinoembryonic Antigen level < 5 ng/mL (96% vs 72%) although a statistical significance could not be reached (p = 0.07). The two markers were not statistically different in terms of specificity (93.6% vs 87.1%; p = 0.62).<BR>Given its diagnostic performance and ease of measurement, intracystic glucose may replace Carcinoembryonic Antigen in the differential diagnosis of mucinous versus non-mucinous pancreatic cysts.