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胰腺导管内乳头状黏液性肿瘤——流行病学、危险因素、诊断及管理

Intraductal papillary mucinous neoplasm of the pancreas - epidemiology, risk factors, diagnosis, and management.

作者信息

Aronsson Linus, Andersson Roland, Ansari Daniel

机构信息

a Department of Clinical Sciences Lund, Surgery , Lund University, Skane University Hospital , Lund , Sweden.

出版信息

Scand J Gastroenterol. 2017 Aug;52(8):803-815. doi: 10.1080/00365521.2017.1318948. Epub 2017 Apr 27.

Abstract

Intraductal papillary mucinous neoplasm (IPMN) is one of the most common cystic neoplasms of the pancreas. It is a heterogeneous disease and can be divided into ductal types and morphological subtypes. The incidence of IPMN is increasing, likely due to the widespread use of cross-sectional imaging and a growing elderly population. IPMN poses an increasing demand on the health care system. Current guidelines provide indications for surgery and recommendations for surveillance, but management of IPMN is still challenging in routine clinical practice. In this article, we review current knowledge about IPMN and provide future directions for improving diagnosis and management.

摘要

导管内乳头状黏液性肿瘤(IPMN)是胰腺最常见的囊性肿瘤之一。它是一种异质性疾病,可分为导管类型和形态学亚型。IPMN的发病率正在上升,这可能归因于横断面成像的广泛应用以及老年人口的增加。IPMN对医疗保健系统的需求日益增加。当前的指南提供了手术指征和监测建议,但在常规临床实践中,IPMN的管理仍然具有挑战性。在本文中,我们回顾了关于IPMN的现有知识,并为改善诊断和管理提供了未来方向。

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