Pancreatic cysts are fluid-filled sacs in the pancreas. Many are benign and need only monitoring, but some have a risk of becoming cancerous over time. The key is accurate assessment — and that is Prof. Mittal’s area of expertise.
Types of pancreatic cysts
- Pseudocysts — usually benign, often related to pancreatitis.
- Serous cystadenomas — almost always benign.
- Mucinous cystic neoplasms (MCNs) — have some malignant potential.
- Intraductal papillary mucinous neoplasms (IPMNs) — require careful surveillance; some carry a higher risk.
Symptoms
Many pancreatic cysts cause no symptoms and are found incidentally on scans done for other reasons. When symptoms occur, they may include abdominal pain, a feeling of fullness, nausea, or jaundice.
Diagnosis & surveillance
Assessment usually combines CT, MRI/MRCP and sometimes endoscopic ultrasound (EUS). Based on the cyst type, size and features, Prof. Mittal will recommend either ongoing surveillance or surgery. The aim is to intervene only when necessary, while catching concerning changes early.
Surgical treatment
When surgery is recommended, Prof. Mittal uses advanced techniques to remove the affected part of the pancreas (such as distal pancreatectomy). Where suitable, minimally invasive and robotic approaches can reduce recovery time.