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[Cystic pancreatic lesions-indications, timing and reasons for surveillance].
- Source :
-
Radiologie (Heidelberg, Germany) [Radiologie (Heidelb)] 2023 Dec; Vol. 63 (12), pp. 900-907. - Publication Year :
- 2023
-
Abstract
- Background: Cystic pancreatic lesions are detected incidentally at an increasing rate. Often, the patients present asymptomatically. Hence, the resulting clinical consequences remain challenging and unsettling for both physicians and patients.<br />Objectives: Status of current recommendations in handling cystic pancreatic lesions.<br />Materials and Methods: Selective literature search of PubMed while taking current guidelines into account.<br />Results: Correct diagnostic classification of the cystic lesion is crucial since further action depends on the type of cystic lesion. Resection is generally recommended for mucinous cystic neoplasms (MCN), solid pseudopapillary neoplasms (SPN), and intraductal papillary mucinous neoplasms (IPMN) with relevant risk criteria such as prominent main-duct dilation. Surveillance is recommended for IPMN without risk criteria, as long as comorbidities and life expectancy of the patient will allow preventive resection over the years. SCNs are benign and only symptomatic SCNs require resection. Inflammatory pancreatic cysts should only be treated under certain circumstances.<br /> (© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
- Subjects :
- Humans
Pancreas pathology
Pancreatic Cyst diagnostic imaging
Pancreatic Cyst surgery
Pancreatic Intraductal Neoplasms pathology
Carcinoma, Pancreatic Ductal diagnosis
Carcinoma, Pancreatic Ductal pathology
Carcinoma, Pancreatic Ductal surgery
Pancreatic Neoplasms diagnosis
Pancreatic Neoplasms surgery
Pancreatic Neoplasms pathology
Neoplasms, Cystic, Mucinous, and Serous pathology
Subjects
Details
- Language :
- German
- ISSN :
- 2731-7056
- Volume :
- 63
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Radiologie (Heidelberg, Germany)
- Publication Type :
- Academic Journal
- Accession number :
- 37878017
- Full Text :
- https://doi.org/10.1007/s00117-023-01226-4