Interdisciplinary management of cystic neoplasms of the pancreas.

Interdisciplinary management of cystic neoplasms of the pancreas.
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胰腺囊性肿瘤的跨学科治疗。

DOI:
10.1155/2012/513163
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发表时间:
2012
影响因子:
2
通讯作者:
Conwell DL
Conwell DL
中科院分区:
医学4区
文献类型:
--
作者:
Lee LS;Clancy T;Kadiyala V;Suleiman S;Conwell DL

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参考文献

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由于腹部影像学检查的频繁使用,胰腺囊性肿瘤越来越被认识。据报道,高达20%的腹部横断面扫描发现偶然无症状胰腺囊肿。胰腺囊性肿瘤的正确定性不仅对识别需要手术切除的癌前病变很重要,而且对许多不需要切除的囊性病变的非手术治疗也很重要。虽然缺乏可靠的生物标志物,但广泛的诊断方式可用于评估胰腺囊性肿瘤,包括放射学,内窥镜,实验室和病理学分析。一个跨学科的方法来管理这些病变,其中包括最近的,专业特定的医学文献中的进展建议。
Cystic neoplasms of the pancreas are increasingly recognized due to the frequent use of abdominal imaging. It is reported that up to 20% of abdominal cross-sectional scans identify incidental asymptomatic pancreatic cysts. Proper characterization of pancreatic cystic neoplasms is important not only to recognize premalignant lesions that will require surgical resection, but also to allow nonoperative management of many cystic lesions that will not require resection with its inherent morbidity. Though reliable biomarkers are lacking, a wide spectrum of diagnostic modalities are available to evaluate pancreatic cystic neoplasms, including radiologic, endoscopic, laboratory, and pathologic analysis. An interdisciplinary approach to management of these lesions which incorporates recent, specialty-specific advances in the medical literature is herein suggested.
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