胰腺囊性肿瘤过度治疗和治疗不足的对策  

The strategy of overtreatment and undertreatment for pancreatic cystic neoplasms

作　　者：尹杰 蒋奎荣 YIN Jie;JIANG Kui-rong(Pancreas Center,The First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院胰腺中心,江苏南京210029

出　　处：《中国实用外科杂志》2023年第7期764-767,共4页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.82072706)。

摘　　要：胰腺囊性肿瘤(PCN)主要包括浆液性囊腺瘤、黏液性囊腺瘤、导管内乳头状黏液性肿瘤及实性假乳头状肿瘤和其他罕见囊性病变。PCN生物学特性及恶变风险各不相同。随着影像学检查技术进步和大量开展,PCN检出率增高。利用精准的诊断方法辅助识别高危征象,准确把握手术指征,选择合适的手术时机和手术方式,制定详细的随访计划,避免过度治疗已成为目前PCN治疗趋势。Pancreatic cystic neoplasms(PCN)consist of serous cystic neoplasms(SCN),mucinous cystic neoplasms(MCN),intraductal papillary mucinous neoplasms(IPMN),solid pseudopapillary neoplasms and other rare cystic lesions.The biological behaviors and risk of progression to malignancy are variable.Increasing use of imaging modalities has resulted in greater numbers of PCN discovered incidentally.The optimal choice of diagnostic strategy for"high-risk"stigma differentiation,appropriate selection criteria for surgery,surgical strategy,and surveillance strategy while avoiding the risk for overtreatment have become the current trend.

关 键 词：胰腺囊性肿瘤 治疗不足 过度治疗 手术指征 

分 类 号：R6[医药卫生—外科学]