Robinson S M, Scott J, Oppong K W, White S A
HPB Unit, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK.
Radiology Department, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK.
Surg Oncol. 2014 Sep;23(3):117-25. doi: 10.1016/j.suronc.2014.04.001. Epub 2014 Apr 21.
Incidental pancreatic cysts are identified in 1% of all patients undergoing CT scans of the abdomen for whatever reason. The aim of this review was to provide an overview of the current evidence relating to the investigation and management of these lesions.
PubMed was searched to identify relevant studies relating to the investigation and management of incidentally discovered pancreatic cystic lesions.
Initial investigation of incidentally discovered pancreatic cysts should be with either specific pancreas protocol CT or contrast enhanced MRI with MRCP. The diagnostic yield of these investigations can be increased with the addition of EUS/FNA and cyst fluid analysis in appropriately selected patients. Surgical intervention may be indicated in otherwise fit patients who are identified as having mucinous neoplasms.
Applying a systematic approach to the investigation of incidentally discovered pancreatic cysts means that in the majority of cases cyst aetiology can be accurately determined and appropriate management plans developed.
无论出于何种原因，在所有接受腹部CT扫描的患者中，偶然发现胰腺囊肿的比例为1%。本综述的目的是概述有关这些病变的检查和管理的当前证据。
检索PubMed以确定与偶然发现的胰腺囊性病变的检查和管理相关的研究。
偶然发现的胰腺囊肿的初步检查应采用特定的胰腺方案CT或增强磁共振成像（MRI）及磁共振胰胆管造影（MRCP）。在适当选择的患者中，通过增加超声内镜引导下细针穿刺活检（EUS/FNA）和囊液分析，这些检查的诊断率可以提高。对于被确定患有黏液性肿瘤的其他健康患者，可能需要进行手术干预。
对偶然发现的胰腺囊肿采用系统的检查方法意味着，在大多数情况下，可以准确确定囊肿的病因并制定适当的管理计划。
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