Caban Miłosz, Małecka-Wojciesko Ewa
Department of Digestive Tract Diseases, Medical University of Lodz, 90-153 Lodz, Poland.
J Clin Med. 2022 Aug 9;11(16):4648. doi: 10.3390/jcm11164648.
Pancreatic incidentalomas (PIs) represent a clinical entity increasingly recognized due to advances in and easier access to imaging techniques. By definition, PIs should be detected during abdominal imaging performed for indications other than a pancreatic disease. They range from small cysts to invasive cancer. The incidental diagnosis of pancreatic cancer can contribute to early diagnosis and treatment. On the other hand, inadequate management of PIs may result in overtreatment and unneeded morbidity. Therefore, there is a strong need to evaluate the nature and clinical features of individual PIs. In this review, we summarize the major characteristics related to PIs and present suggestions for their management.
胰腺偶发瘤(PIs)是一种因成像技术进步及获取更容易而日益被认识的临床实体。根据定义,PIs应在因非胰腺疾病指征而进行的腹部成像检查中被发现。它们范围从小囊肿到浸润性癌。胰腺癌的偶然诊断有助于早期诊断和治疗。另一方面,对PIs处理不当可能导致过度治疗及不必要的发病率。因此,迫切需要评估单个PIs的性质和临床特征。在本综述中,我们总结了与PIs相关的主要特征,并提出了其处理建议。