Dąbkowski Krzysztof, Kos-Kudła Beata, Andrysiak-Mamos Elżbieta, Syrenicz Anhelli, Pilch-Kowalczyk Joanna, Starzyńska Teresa
Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland, Poland.
Endokrynol Pol. 2018;69(3):320-325. doi: 10.5603/EP.2018.0034.
Cystic pancreatic tumors are detected with increasing frequency and remain a clinical problem. Since they have different potential of malignancy the management and decision making process is a hard task. Guidelines, concerning pancreatic cystic tumors indicate the management with mucinous, serous cystic pancreatic neoplasms and solid pseudopappilary tumor, while the management with pancreatic cystic neuroendocrine tumors is not included into these standards. This review tries to answer the question are the cystic pancreatic neuroendocrine tumors different entity from solid tumors of neuroendocrine origin.The management and differential diagnosis of these neoplasms with special focus on features on imaging studies allowing preoperative diagnosis are discussed.
胰腺囊性肿瘤的检出率日益增加，仍然是一个临床问题。由于它们具有不同的恶性潜能，管理和决策过程是一项艰巨的任务。关于胰腺囊性肿瘤的指南指出了黏液性、浆液性囊性胰腺肿瘤和实性假乳头状肿瘤的管理方法，而胰腺囊性神经内分泌肿瘤的管理未纳入这些标准。本综述试图回答胰腺囊性神经内分泌肿瘤是否与神经内分泌起源的实性肿瘤不同这一问题。本文讨论了这些肿瘤的管理和鉴别诊断，特别关注有助于术前诊断的影像学特征。
