Pancreatic cystic neoplasms:a comprehensive approach to diagnosis and management  

作　　者：Amir M.Parray Anoop Singh Vikram Chaudhari Avinash Supe 

机构地区：[1]Department of Surgical Gastroenterology and Minimal Access Surgery,BLK Max Super Speciality Hospital,New Delhi,India [2]Gastrointestinal and Hepato-Pancreato-Biliary Service,Department of Surgical Oncology,Tata Memorial Centre,Homi Bhabha National Institute,Mumbai,Maharashtra,India [3]Surgical Gastroenterology,KEM Hospital,Mumbai,India

出　　处：《Oncology and Translational Medicine》2023年第6期269-280,共12页肿瘤学与转化医学（英文版）

摘　　要：Pancreatic cystic neoplasms present a complex diagnostic scenario encompassing low-and high-grade malignancies.Their prevalence varies widely,notably increasing with age,reaching 75%in individuals older than 80 years.Accurate diagnosis is crucial,as errors occur in approximately one-third of resected cysts discovered incidentally.Various imaging modalities such as computed tomography,magnetic resonance imaging,and endoscopic techniques are available to address this challenge.However,risk stratification remains problematic,with guideline inconsistencies and diagnostic accuracy varying according to cyst type.This review proposed a stepwisemanagement approach,considering patient factors,imaging results,and specific features.This patient-centered model offers a structured framework for optimizing the care of individuals with pancreatic cystic neoplasms.

关 键 词：Pancreatic cystic neoplasms Cystic fluid analysis Serous cystic neoplasm Mucinous cystic neoplasm Intraductal papillary mucinous neoplasm Cystic tumors 

分 类 号：R735.9[医药卫生—肿瘤]