Sanford Digestive Health Center, University of South Dakota, Sioux Falls, SD, USA.
Expert Rev Gastroenterol Hepatol. 2013 May;7(4):353-60. doi: 10.1586/egh.13.23.
Pancreatic cystic lesions continue to pose diagnostic and management dilemmas for physicians. This may be related, in part, to the fact that these lesions represent a range of diagnostic possibilities, from inflammatory cysts and nonmucinous cysts to mucinous cysts, which may or may not have foci of invasive malignancy. Adequate characterization of cystic lesions is necessary to help devise a management plan. Moreover, patient-related factors such as comorbid conditions are often essential in deciding whether patients should be managed by a conservative approach of watchful waiting versus surgical resection, if so indicated. This review summarizes the recent advances in the management of pancreatic cystic neoplasms.
胰腺囊性病变仍然给医生的诊断和治疗带来了难题。这可能部分与这些病变代表了一系列不同的诊断可能性有关，从炎症性囊肿和非黏液性囊肿到黏液性囊肿，这些囊肿可能有或可能没有侵袭性恶性肿瘤的病灶。充分描述囊性病变对于制定治疗计划是必要的。此外，患者相关因素，如合并症，对于决定患者是否应该通过保守治疗（如观察等待或手术切除）进行管理也很重要。这篇综述总结了胰腺囊性肿瘤治疗的最新进展。
