Surgeons can now identify high-grade dysplasia in pancreatic mucinous cystic neoplasms using an effective risk prediction model.

• In a study of 198 patients, 16% had high-grade dysplasia, with 7% showing invasive carcinoma.
• Key risk factors include older age (median 52.5 years), symptomatic presentation (72%), cyst size (average 85 mm), and mural nodules (56%).

Utilize the validated nomogram and online calculator for smarter surgical decisions versus surveillance strategies.

• The nomogram demonstrated 89% accuracy with 85% sensitivity at a 10% risk threshold.