Pancreatic Cyst Surgeon Sydney | IPMN Treatment | Norwest, Westmead, Macquarie

Overview

Pancreatic Cysts

Pancreatic cysts are increasingly detected incidentally on cross-sectional imaging. While many are benign, some have malignant potential and require specialist evaluation. Accurate characterisation and risk stratification is essential to determine which cysts require surgery and which can be safely monitored.

Expert Evaluation Required

All pancreatic cysts should be evaluated by an HPB surgeon experienced in pancreatic disease to determine the appropriate management pathway — surveillance, endoscopic evaluation, or surgical resection.

Types of Pancreatic Cysts

Intraductal Papillary Mucinous Neoplasm (IPMN)

The most common cystic neoplasm of the pancreas. IPMNs can involve the main pancreatic duct (higher malignant risk) or branch ducts. Management depends on size, symptoms and imaging features.

Mucinous Cystadenoma / Cystadenocarcinoma

Primarily affects middle-aged women and has significant malignant potential. Surgical resection is recommended for all mucinous cystadenomas regardless of size.

Serous Cystadenoma

Almost universally benign. Small, asymptomatic serous cystadenomas can be observed. Large or symptomatic lesions may require resection.

Pseudocysts

Arise as a complication of acute or chronic pancreatitis. Most resolve spontaneously; persistent or symptomatic pseudocysts may require drainage (endoscopic, radiological or surgical).

Solid Pseudopapillary Neoplasm (SPN)

A rare low-grade malignant tumour that affects young women. Surgical resection is recommended due to malignant potential.

Treatment

Management is individualised based on cyst type, size, location, symptoms, and high-risk features. Options include surveillance with MRI or EUS, endoscopic ultrasound with cyst aspiration, or surgical resection (Whipple's procedure or distal pancreatectomy). Dr. Nahm will provide a thorough assessment and evidence-based recommendation for your specific cyst.