Ridtitid Wiriyaporn, Al-Haddad Mohammad A
Division of Gastroenterology and Hepatology, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, Thailand.
Division of Gastroenterology and Hepatology, Indiana University School of Medicine, 550 North University Boulevard, Suite 4100, Indianapolis, IN 46202, USA.
Gastrointest Endosc Clin N Am. 2017 Oct;27(4):615-642. doi: 10.1016/j.giec.2017.06.004. Epub 2017 Aug 12.
Cystic pancreatic lesions are increasingly diagnosed owing to the abundant use of cross-sectional imaging. Given their malignant potential, true pancreatic cysts should be considered for resection or periodic follow-up. Cystic lesions of the pancreas (CLPs) require further evaluation and management. Therefore, it is important to establish a solid diagnosis at the time of detection. Endoscopic ultrasound examination is the imaging modality of choice. Fine needle aspiration provides fluid for cytologic, biochemical, and molecular assays to classify lesions and predict biological behavior. This review provides an overview of the diagnosis and management of various types of commonly encountered true CLPs.
由于横断面成像的广泛应用，胰腺囊性病变的诊断越来越多。鉴于其恶变潜能，对于真性胰腺囊肿应考虑切除或定期随访。胰腺囊性病变（CLPs）需要进一步评估和处理。因此，在检测时确立可靠的诊断很重要。内镜超声检查是首选的成像方式。细针穿刺可获取液体用于细胞学、生化和分子检测，以对病变进行分类并预测生物学行为。本文综述了各种常见真性CLPs的诊断和处理。
