Tran Cao Hop S, Kellogg Benjamin, Lowy Andrew M, Bouvet Michael
Department of Surgery, Moores Cancer Center, University of California, San Diego School of Medicine, 3855 Health Sciences Drive, La Jolla, CA 92093-0803, USA.
Surg Oncol Clin N Am. 2010 Apr;19(2):267-95. doi: 10.1016/j.soc.2009.11.004.
Cystic neoplasms of the pancreas are a heterogeneous group of pancreatic tumors that vary in pathophysiology, malignant potential, clinical course, and outcomes. Their management is heavily predicated on establishing an accurate diagnosis. This can be particularly challenging, but can often be achieved by a thorough history and physical examination combined with high-quality, thin-slice computed tomography, although additional diagnostic tools may be required. Once the diagnosis is established, treatment can range from simple observation to total pancreatectomy. This decision rests on a clear and complete understanding of each disease process in the context of the patient's age and comorbidities. This article reviews the most common cystic neoplasms of the pancreas, focusing on their diagnosis and management.
胰腺囊性肿瘤是一组异质性的胰腺肿瘤，其病理生理学、恶性潜能、临床病程及预后各不相同。对它们的处理很大程度上取决于能否做出准确诊断。这可能极具挑战性，但通常通过详尽的病史和体格检查，再结合高质量的薄层计算机断层扫描来实现，不过可能还需要其他诊断工具。一旦确诊，治疗方案可从单纯观察到全胰切除术不等。这一决策取决于在患者年龄和合并症背景下对每个疾病过程的清晰且全面的了解。本文综述了胰腺最常见的囊性肿瘤，重点关注其诊断和处理。
