导管内乳头状黏液性肿瘤的诊断与处理综述。
Review of the diagnosis and management of intraductal papillary mucinous neoplasms.
机构信息
Division of Pancreatic Surgery, Vita e Salute University, Milan, Italy.
Division of Pancreato-Biliary Endoscopy and EUS, Vita e Salute University, Milan, Italy.
出版信息
United European Gastroenterol J. 2020 Apr;8(3):249-255. doi: 10.1177/2050640619894767. Epub 2019 Dec 9.
Abstract
Intraductal papillary mucinous neoplasms are common lesions with the potential of harbouring/developing a pancreatic cancer. An accurate evaluation of intraductal papillary mucinous neoplasms with high-resolution imaging techniques and endoscopic ultrasound is mandatory in order to identify patients worthy either of surgical treatment or surveillance. In this review, the diagnosis and management of patients with intraductal papillary mucinous neoplasms are discussed with a specific focus on current guidelines. Areas of uncertainty are also discussed, as there are controversies related to the optimal indications for surgery, surveillance protocols and surveillance discontinuation.
摘要
导管内乳头状黏液性肿瘤是一种常见病变，有发生/发展为胰腺癌的可能。为了识别出适合手术治疗或监测的患者，必须使用高分辨率成像技术和内镜超声对导管内乳头状黏液性肿瘤进行准确评估。本文讨论了导管内乳头状黏液性肿瘤患者的诊断和处理，重点介绍了现行指南。本文还讨论了存在争议的不确定领域，因为在手术的最佳适应证、监测方案和监测终止方面存在争议。
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