胰腺囊肿：一种系统的处理方法及再次评估
Pancreatic cysts: a systematic approach and second look.
作者信息
Emuron Dennis, Senadhi Viplove, Teagarden Sean, Parasher Vinod K
机构信息
Johns Hopkins University/Sinai Hospital, Baltimore, MD, USA.
出版信息
J Gastrointest Cancer. 2012 Dec;43(4):526-31. doi: 10.1007/s12029-012-9390-5.
BACKGROUND
Pancreatic cysts are relatively rare, but constitute an important disease entity that poses a challenge with clinical, radiological, and pathological differential diagnosis.
METHODS
New attention has been drawn to pancreatic cysts given their potential cure rates with resection. However, preoperative distinction between neoplastic and benign lesions needs further study for effective strategies in identification and management. The role and safety of cystic fluid analysis remains to be clarified in this context.
RESULTS
The presence of mural nodules is a significant indicator for malignancy; however, size as a reliable predictor remains controversial. Specific criteria are required with particular focus on the histologic subtype of pancreatic lesions.
CONCLUSION
We review recent developments in the understanding and management of cystic lesions of the pancreas.
背景
胰腺囊肿相对少见，但却是一个重要的疾病实体，在临床、影像学及病理鉴别诊断方面都构成挑战。
方法
鉴于胰腺囊肿切除术后可能的治愈率，人们对其给予了新的关注。然而，术前区分肿瘤性和良性病变对于有效的识别和管理策略仍需进一步研究。在此背景下，囊液分析的作用和安全性仍有待阐明。
结果
壁结节的存在是恶性肿瘤的重要指标；然而，大小作为可靠的预测指标仍存在争议。需要特定标准，尤其要关注胰腺病变的组织学亚型。
结论
我们综述了胰腺囊性病变在认识和管理方面的最新进展。
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