New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.
Brigham and Women's Hospital, Boston, MA.
J Clin Gastroenterol. 2020 May/Jun;54(5):415-427. doi: 10.1097/MCG.0000000000001310.
Owing to increased detection rates, the diagnosis and management of incidental pancreatic cysts has become a common predicament. Up to 13% of patients undergoing cross-sectional imaging studies for other indications are found to have pancreatic cystic lesions. Although most cystic lesions are benign, the malignant potential of several types of pancreatic cysts makes accurate classification vital to directing therapy. To this end, advances in the last decade led to better characterization of pancreatic cyst morphology and hence enhanced the ability to predict underlying histopathology, and biological behavior. Although accurate classification remains a challenge, the utilization of complementary diagnostic tools is the optimal approach to dictate management. The following review includes a description of pancreatic cysts, a critical review of current and emerging diagnostic techniques and a review of recent guidelines in the management of incidental pancreatic cysts.
由于检出率的提高，偶然发现的胰腺囊肿的诊断和管理已成为一个常见的难题。多达 13%的因其他指征而行横断面成像研究的患者被发现存在胰腺囊性病变。虽然大多数囊性病变是良性的，但几种类型的胰腺囊肿的恶性潜能使得准确分类对于指导治疗至关重要。为此，过去十年的进展使胰腺囊肿形态学的特征描述得到改善，从而提高了预测潜在组织病理学和生物学行为的能力。尽管准确分类仍然是一个挑战，但利用补充性诊断工具是决定治疗的最佳方法。以下综述包括胰腺囊肿的描述、当前和新兴诊断技术的批判性评价以及偶然发现的胰腺囊肿管理的最新指南的综述。
