Hammel P, Bernades P
Fédération médico-chirurgicale d'Hépato-Gastroentérologie, Hôpital Beaujon, Clichy.
Presse Med. 1996 Nov 23;25(36):1794-800.
Cystic lesions of the pancreas include pseudocysts (90%), cystic tumors and true cysts. Preoperative diagnosis will guide the therapeutic strategy. Certain malignant or potentially malignant cysts (mucinous cystadenomas and cystadenocarcinomas) should be removed surgically while others (pseudocysts and serous cystadenomas) are almost always benign. In 3 out of 4 cases, the clinical setting guides diagnosis and with adequate imaging (sonography, computed tomography, endosonography) the correct diagnosis can be obtained. Inversely, the nature of a unique macrocyst it is often difficult to identify. Puncture is useful to determine tumor markers which are sometimes helpful in complementing information provided by imaging techniques.
胰腺囊性病变包括假性囊肿（90%）、囊性肿瘤和真性囊肿。术前诊断将指导治疗策略。某些恶性或潜在恶性囊肿（黏液性囊腺瘤和囊腺癌）应手术切除，而其他囊肿（假性囊肿和浆液性囊腺瘤）几乎总是良性的。在四分之三的病例中，临床情况可指导诊断，通过充分的影像学检查（超声、计算机断层扫描、内镜超声）可获得正确诊断。相反，单个大囊肿的性质往往难以确定。穿刺有助于确定肿瘤标志物，有时有助于补充影像学技术提供的信息。
