CT偶然发现的胰腺囊性病变：文献综述与处理建议
Incidentally detected cystic lesions of the pancreas on CT: review of literature and management suggestions.
作者信息
Zaheer Atif, Pokharel Sajal S, Wolfgang Christopher, Fishman Elliot K, Horton Karen M
机构信息
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 601 N. Caroline Street, JHOC 3235 A, Baltimore, MD 21231, USA.
出版信息
Abdom Imaging. 2013 Apr;38(2):331-41. doi: 10.1007/s00261-012-9898-y.
PURPOSE
To facilitate a better understanding of incidentally noted cystic pancreatic lesions, since these lesions often pose a challenge regarding appropriate management.
METHODS
This article reviews pathophysiology, prevalence, significance, and recommendations for management of the various pancreatic cystic lesions. Illustrative cases are demonstrated.
RESULTS
Diagnostic benign lesions can be left alone. Cross-sectional imaging can be used to follow-up benign appearing lesions and to stage more aggressive ones. Endoscopic ultrasound with fine needle aspiration and cyst fluid analysis can be performed on certain indeterminate lesions. Lesions with high malignant potential should undergo resection.
CONCLUSIONS
A better understanding of the variety of incidentally detected pancreatic cystic lesions can help direct appropriate management.
目的
为了促进对偶然发现的胰腺囊性病变有更好的理解，因为这些病变在恰当管理方面常常构成挑战。
方法
本文回顾了各种胰腺囊性病变的病理生理学、患病率、意义及管理建议。展示了一些说明性病例。
结果
诊断为良性的病变可以不予处理。横断面成像可用于对看似良性的病变进行随访以及对更具侵袭性的病变进行分期。对于某些不确定的病变可进行超声内镜引导下细针穿刺及囊液分析。具有高恶性潜能的病变应进行切除。
结论
更好地了解偶然发现的各种胰腺囊性病变有助于指导恰当的管理。
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