Observational studyDigestive diseases and sciences2026
A Single-Center Retrospective Cohort Review of Pancreatic Cysts and Malignancy in Cystic Fibrosis Lung Transplant Recipients.
Observational study in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
backgroundIndividuals with cystic fibrosis (CF) develop pancreatic cysts and cancer more frequently than the general population, particularly among lung transplant recipients due to long-term immunosuppression. CF lung transplant guidelines address many gastrointestinal malignancies including colorectal cancer, but do not provide recommendations for routine surveillance of the pancreas.
aimsWe aim to highlight the increased risk that CF lung transplant patients face for developing pancreatic cysts and malignancy. This study may inform future multicenter studies and guideline revisions to include monitoring of the pancreas in this population.
methodsAn observational, retrospective chart review of CF lung transplant recipients (N = 54) was conducted monitoring pancreatic cyst incidence and severity. Statistics and figures were generated in RStudio.
resultsTwenty-two patients (40.7%) had pancreatic cystic lesions. Nearly, all patients underwent post-transplant, abdominal CT (100%), and ultrasound (98.1%), while 30 patients (55.6%) received an MRI/MRCP. Of those with cysts, 7 (31.8%) had cysts detected pre-transplant, while 15 (68.2%) had cysts detected post-transplant. Seven patients (31.8%) were diagnosed with suspected IPMNs. Seven patients (31.8%) had cysts measuring ≥ 30 mm, 4 (18.2%) exhibited main pancreatic duct dilation > 5 mm, and 8 patients (36.4%) showed a cystic growth rate ≥ 3.0 mm per year. Seven individuals (13.0%) had their cysts sampled for malignancy; two (3.7%) were diagnosed with pancreatic cancer and an additional patient experienced rapid multifocal cyst progression and underwent total pancreatectomy.
conclusionFindings indicate a higher-than-expected pancreatic cyst and cancer prevalence, supporting the need for formal screening guidelines for CF lung transplant recipients.
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