Cyst Fluid Glucose for On-site Diagnosis of Mucinous Pancreatic Cysts

Mucinous pancreatic cysts are considered pre-cancerous. The standard evaluation of pancreatic
cysts usually includes endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). The
cyst fluid sample from EUS-FNA is routinely sent for lab analysis (carcinoembryonic
antigen-CEA) and cytology assessment. The diagnosis of a mucinous cyst is usually based on
those results.

For study participants undergoing EUS-FNA, a small portion of the cyst fluid will be analyzed
for glucose levels using a bedside glucometer in addition to the routine analyses. A low cyst
fluid glucose level may correlate with a diagnosis of a mucinous cyst. The primary aim of
this study will be to determine if a low cyst fluid glucose level correlates with standard
laboratory cyst fluid analysis (CEA) in establishing a diagnosis of a mucinous pancreatic
cyst.

Secondary aims of this study will be: (1) comparing the accuracy of cyst fluid glucose to CEA
level among subjects with a proven diagnosis of a mucinous cyst (based on surgery or
cytopathology findings), and (2) determining the optimal cyst fluid glucose level that
correlates to a proven diagnosis of a mucinous cyst (based on subjects who undergo surgery or
have a diagnosis based on cytopathology).

Inclusion Criteria:

- All adults undergoing standard-of-care EUS-FNA procedures for the evaluation of
pancreatic cysts are eligible to participate

- Minimum of 1mL of cyst fluid must be aspirated in order to be enrolled in the study

Exclusion Criteria:

- Inability to perform pancreatic cyst fluid sampling

- <1mL of cyst fluid is aspirated during EUS-FNA