Jorba Rosa, Fabregat Joan, Borobia Francisco G, Busquets Juli, Ramos Emilio, Torras Jaume, Lladó Laura, Valls Carlos, Serrano Teresa, Rafecas Antoni
Unidad de Cirugía Hepato-bilio-pancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Cir Esp. 2008 Dec;84(6):296-306. doi: 10.1016/s0009-739x(08)75039-5.
Management of the cystic lesions of the pancreas is of interest to general and pancreatic surgeons and physicians of other disciplines: gastroenterology, internal medicine, endoscopy, radiology, pathology, etc. The majority of cystic lesions are inflammatory pseudo-cysts. Cystic neoplasms represents only 10% of cystic lesions of the pancreas and 1% of pancreatic tumours. Preoperative diagnosis is crucial given the differences in natural history of the spectrum of benign, malignant, and borderline lesions. Serous cystadenoma is a benign lesion that requires non-surgical management if there are no symptoms. Mucinous neoplasms are premalignant lesions that mainly require pancreatic resection. Despite improved radiographic imaging techniques, definitive diagnosis is only made after studying the resection sample. The pancreatic surgical risk is a problem for the appropriate management of these patients.
胰腺囊性病变的管理受到普通外科医生、胰腺外科医生以及其他学科医生（如胃肠病学、内科、内镜学、放射学、病理学等）的关注。大多数囊性病变为炎性假囊肿。囊性肿瘤仅占胰腺囊性病变的10%，占胰腺肿瘤的1%。鉴于良性、恶性和交界性病变的自然史存在差异，术前诊断至关重要。浆液性囊腺瘤是一种良性病变，无症状时无需手术治疗。黏液性肿瘤是癌前病变，主要需要进行胰腺切除术。尽管放射影像学技术有所改进，但只有在研究切除样本后才能做出明确诊断。胰腺手术风险是这些患者合理管理中的一个问题。
