<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452025000600058</article-id>
<article-id pub-id-type="doi">10.1159/000547298</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Portuguese Pancreatic Club Perspective on the Surveillance Strategy for Intraductal Papillary Mucinous Neoplasms: When and How to Do It?]]></article-title>
<article-title xml:lang="pt"><![CDATA[Perspetiva do Clube Português do Pâncreas sobre a Vigilância das Neoplasias Papilares Intraductais do Pâncreas: Quando e Como Vigiar?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vara-Luiz]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bispo]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilas-Boas]]></surname>
<given-names><![CDATA[Filipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cúrdia-Gonçalves]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A9"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues-Pinto]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Garcia de Orta Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Egas Moniz School of Health and Science Egas Moniz Center for Interdisciplinary Research (CiiEM) Aging Lab]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde da Região de Leiria Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Leiria ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Champalimaud Foundation Digestive Oncology Unit ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,University of Porto Faculty of Medicine ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital de Guimarães Unidade Local de Saúde do Alto Ave Gastroenterology Department]]></institution>
<addr-line><![CDATA[Guimaraes ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,University of Minho School of Medicine ]]></institution>
<addr-line><![CDATA[Guimaraes ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,ICVS/3B&#8217;s-PT Government Associate Laboratory  ]]></institution>
<addr-line><![CDATA[Guimaraes ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>6</numero>
<fpage>58</fpage>
<lpage>66</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452025000600058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452025000600058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452025000600058&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Pancreatic cysts are increasingly recognized nowadays, with estimated prevalence that may reach 50% in aging populations. Most cysts are of benign origin, and only a small proportion has malignant potential, including intraductal papillary mucinous neoplasms (IPMNs). Since pancreatic cysts are common, the most important goal was to identify the small percentage at high risk of developing malignancy. The increased detection and awareness of IPMNs led to the development of several consensus and guidelines, with only the most recent being evidence-based.  Summary:  Current consensus guidelines recommend risk assessment to prioritize high-risk patients for malignancy. In the Fukuoka/ Kyoto guidelines, the predictive factors of malignancy are called &#8220;high-risk stigmata&#8221; and &#8220;worrisome features.&#8221; Conversely, other guidelines consider the terms &#8220;absolute indication&#8221; and &#8220;relative indication&#8221; for surgery, as well as criteria for referral to multidisciplinary groups. In case of non-resected IPMNs, criteria for surveillance depend on cyst size, with magnetic resonance imaging pointed as the most consensual modality for follow-up, although the recommended imaging modality varies among consensus. In some situations, namely, older age, frailty/comorbidities, or stability of cyst size, follow-up discontinuation may be considered.  Key Message:  Performance of surveillance guidelines is measured by the ability to identify patients with high-grade dysplasia/early stage-invasive cancer. Guidelines with more intense protocols will likely lead to fewer missed cancers, balanced by a greater number of benign resections. Multidisciplinary management preferably in reference centers is of utmost importance given the indolent and complex nature of the disease, and a global evidence-based guideline that combines the several guidelines&#8217; groups is mandatory to uniformize care. In this review, the Portuguese Pancreatic Club summarizes the risk assessment and surveillance strategy of a patient with an IPMN according to different guidelines in order to create an updated perspective and to guide clinical care.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Contexto:  Os quistos do pâncreas constituem uma entidade com incidência crescente, com uma prevalência que pode atingir os 50% em indivíduos idosos assintomáticos. A maioria dos quistos são benignos, com apenas uma pequena percentagem a apresentar risco de malignização, incluindo as neoplasias papilares intraductais do pâncreas (IPMNs). Uma vez que os quistos do pâncreas são comuns, importa identificar a pequena percentagem com risco de malignidade. O aumento da deteção desta entidade levou à publicação de inúmeras recomendações/consensos, em que apenas as mais recentes são baseadas na evidência.  Sumário:  A evidência atual recomenda a avaliação do risco de todos os doentes com IPMNs de forma a priorizar aqueles de alto-risco para malignidade. As recomendações de Fukuoka/Kyoto identificam fatores preditores de neoplasia como &#8220;estigmas de alto risco&#8221; e &#8220;características/sinais de alarme.&#8221; Outros consensos utilizam os termos &#8220;indicação absoluta/relativa para cirurgia,&#8221; assim como critérios de referenciação para equipas multidisciplinares. Nos doentes com IPMNs não ressecadas, a estratégia de vigilância depende do tamanho do quisto, sendo a ressonância magnética o método de imagem mais consensual, embora possa diferir entre consensos. Em alguns casos, nomeadamente por idade avançada, fragilidade/comorbilidades ou estabilidade do tamanho do quisto, pode ser considerada a descontinuação da vigilância.  Mensagens-chave:  A acuidade das guidelines de vigilância é medida pela capacidade de identificar doentes com displasia de alto grau/cancro invasivo em fase precoce. Guidelines com protocolos mais intensivos levarão a menos casos de cancro não detetados, à custa de um maior número de ressecções benignas. A avaliação multidisciplinar, preferencialmente em centros de referência, é essencial dada a natureza indolente e complexa desta doença. A elaboração de um consenso internacional unificado que junte os vários grupos de peritos revela-se essencial para uniformizar os cuidados de saúde. Nesta revisão, o Clube Português do Pâncreas pretende sumarizar a avaliação de risco e estratégia de seguimento de IPMNs conjugando as diferentes perspetivas/recomendações já publicadas e fornecendo mais uma ferramenta de abordagem nestes doentes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Intraductal papillary mucinous neoplasm]]></kwd>
<kwd lng="en"><![CDATA[Pancreatic cancer]]></kwd>
<kwd lng="en"><![CDATA[Surveillance]]></kwd>
<kwd lng="pt"><![CDATA[Neoplasia mucinosa papilar intraductal do pâncreas]]></kwd>
<kwd lng="pt"><![CDATA[Neoplasia do pâncreas]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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