Morana Giovanni, Ciet Pierluigi, Venturini Silvia
Department of Radiology, Regional Hospital Ca' Foncello, Piazza Ospedale 1, 3100, Treviso, Italy.
Department of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands.
Insights Imaging. 2021 Aug 10;12(1):115. doi: 10.1186/s13244-021-01060-z.
Cystic pancreatic lesions (CPLs) are frequently casual findings in radiological examinations performed for other reasons in patients with unrelated symptoms. As they require different management according to their histological nature, differential diagnosis is essential. Radiologist plays a key role in the diagnosis and management of these lesions as imaging is able to correctly characterize most of them and thus address to a correct management. The first step for a correct characterization is to look for a communication between the CPLs and the main pancreatic duct, and then, it is essential to evaluate the morphology of the lesions. Age, sex and a history of previous pancreatic pathologies are important information to be used in the differential diagnosis. As some CPLs with different pathologic backgrounds can show the same morphological findings, differential diagnosis can be difficult, and thus, the final diagnosis can require other techniques, such as endoscopic ultrasound, endoscopic ultrasound-fine needle aspiration and endoscopic ultrasound-through the needle biopsy, and multidisciplinary management is important for a correct management.
胰腺囊性病变（CPLs）在因其他无关症状进行的放射学检查中经常是偶然发现的。由于根据其组织学性质需要不同的处理方法，鉴别诊断至关重要。放射科医生在这些病变的诊断和处理中起着关键作用，因为影像学能够正确地对大多数病变进行特征性描述，从而指导正确的处理。正确特征性描述的第一步是寻找CPLs与主胰管之间的连通情况，然后，评估病变的形态至关重要。年龄、性别和既往胰腺疾病史是鉴别诊断中要使用的重要信息。由于一些具有不同病理背景的CPLs可能表现出相同的形态学表现，鉴别诊断可能很困难，因此，最终诊断可能需要其他技术，如内镜超声、内镜超声引导下细针穿刺和内镜超声针吸活检，多学科管理对于正确处理很重要。
