Presentation and management of pancreatic cystic neoplasms
| Autor: | Marco Pericoli Ridolfini, Stylianos Germanos, Stavros Gourgiotis |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Pancreatic disease Cystadenoma Cystadenocarcinoma Disease Malignancy Cystadenocarcinoma Mucinous Diagnosis Differential Clinical work Pancreatic tumor Cystadenoma Mucinous medicine Humans Aged Aged 80 and over business.industry General surgery Gastroenterology Anatomical pathology Middle Aged medicine.disease Cystadenocarcinoma Serous Pancreatic Neoplasms Serous fluid Female Presentation (obstetrics) business Carcinoma Pancreatic Ductal |
| Zdroj: | Journal of clinical gastroenterology. 41(6) |
| ISSN: | 0192-0790 |
| Popis: | Pancreatic cystic neoplasms are less frequent than other pancreatic tumors, but because of the wide availability and improvement of modern imaging methods, these neoplasms are being recognized with increasing frequency and it is often possible to be differentiated preoperatively not only from other cystic pancreatic disorders but also from one another. Most patients have no symptoms while clinical signs are not really useful in the clinical work up, and when they are present, they never help us to identify the type of pathology. Treatment differs with the diagnosis. Serous cystic neoplasms are uniformly benign and usually do not mandate resection unless this lesion is symptomatic. In contrast, mucinous cystic neoplasms and intraductal papillary mucinous neoplasms have a premalignant or malignant tendency, and therefore should be managed aggressively by pancreatic resection; in the absence of invasive disease, prognosis is excellent after appropriate surgery, but the presence of invasive malignancy signifies a poor prognosis. Solid pseudopapillary neoplasms have nonaggressive behavior and their management is related to the extension of the disease. The purpose of this article is to review the types of pancreatic cystic neoplasms, their diagnosis, indications for surgical treatment, and outcome. |
| Databáze: | OpenAIRE |
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