Greer Jonathan B, Ferrone Cristina R
General Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB-425, Boston, MA 02114, USA.
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA 02114, USA.
Surg Oncol Clin N Am. 2016 Apr;25(2):339-50. doi: 10.1016/j.soc.2015.11.002.
As patients are living longer and axial imaging is more widespread, increasing numbers of cystic neoplasms of the pancreas are found. Intraductal papillary mucinous neoplasms and mucinous cystic neoplasms are the most common. The revised Sendai guidelines provide a safe algorithm for expectant management of certain cystic neoplasms; however, studies are ongoing to identify further subgroups that can be treated nonoperatively. For those patients with high-risk clinical features or symptoms, surgical resection can be performed safely at high-volume pancreatic centers. Accurate diagnosis is critical for accurate decision making.
随着患者寿命延长以及轴向成像技术更为普及，胰腺囊性肿瘤的发现数量日益增加。导管内乳头状黏液性肿瘤和黏液性囊性肿瘤最为常见。修订后的仙台指南为某些囊性肿瘤的期待性管理提供了一种安全的算法；然而，目前仍在进行研究以确定可进行非手术治疗的更多亚组。对于那些具有高风险临床特征或症状的患者，在大型胰腺中心可以安全地进行手术切除。准确诊断对于准确决策至关重要。
