My Treatment Approach: Pancreatic Cysts

被引:18
作者
Basar, Omer [1 ]
Brugge, William R. [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Gastrointestinal Unit, Pancreas Biliary Ctr, Boston, MA 02114 USA
[2] Harvard Med Sch, Boston, MA USA
关键词
FINE-NEEDLE-ASPIRATION; PAPILLARY MUCINOUS NEOPLASMS; SOLID-PSEUDOPAPILLARY NEOPLASMS; FLUID CARCINOEMBRYONIC ANTIGEN; COST-BENEFIT-ANALYSIS; LONG-TERM SURVIVAL; K-RAS MUTATIONS; NEUROENDOCRINE TUMORS; ENDOSCOPIC ULTRASOUND; CONSENSUS GUIDELINES;
D O I
10.1016/j.mayocp.2017.06.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Our treatment approach for either symptomatic or incidentally found pancreatic cysts continues to improve. The true incidence of pancreatic cysts is not known, and pancreatic cystic neoplasms, especially intraductal papillary mucinous neoplasms, are currently most commonly diagnosed and resected. This is a result of increasing awareness, widespread availability of imaging, and better understanding of the nature of pancreatic cysts as well. Recent studies on molecular analysis and devices such as microbiopsy forceps help us better define and select the treatment approach to alleviate symptoms and to prevent malignant tumors while avoiding unnecessary surgery. (C) 2017 Mayo Foundation for Medical Education and Research
引用
收藏
页码:1519 / 1531
页数:13
相关论文
共 94 条
  • [1] Diagnosis and treatment of pancreatic pseudocysts in chronic pancreatitis
    Aghdassi, Ali
    Mayerle, Julia
    Kraft, Matthias
    Sielenkaemper, Andreas W.
    Heidecke, Claus-Dieter
    Lerch, Markus M.
    [J]. PANCREAS, 2008, 36 (02) : 105 - 112
  • [2] Cystic pancreatic neuroendocrine tumors: Is preoperative diagnosis possible?
    Ahrendt, SA
    Komorowski, RA
    Demeure, MJ
    Wilson, SD
    Pitt, HA
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2002, 6 (01) : 66 - 74
  • [3] Serum N-glycan profiles in patients with intraductal papillary mucinous neoplasms of the pancreas
    Akimoto, Yutaka
    Nouso, Kazuhiro
    Kato, Hironari
    Miyahara, Koji
    Dohi, Chihiro
    Morimoto, Yuki
    Kinugasa, Hideaki
    Tomoda, Takeshi
    Yamamoto, Naoki
    Tsutsumi, Koichiro
    Kuwaki, Kenji
    Onishi, Hideki
    Ikeda, Fusao
    Nakamura, Shinichiro
    Shiraha, Hidenori
    Takaki, Akinobu
    Okada, Hiroyuki
    Amano, Maho
    Nishimura, Shin-Ichiro
    Yamamoto, Kazuhide
    [J]. PANCREATOLOGY, 2015, 15 (04) : 432 - 438
  • [4] Invasive mucinous cystic neoplasms of the pancreas
    Baker, Michael L.
    Seeley, E. Scott
    Pai, Reetesh
    Suriawinata, Arief A.
    Mino-Kenudson, Mari
    Zamboni, Giuseppe
    Kloeppel, Gunter
    Longnecker, Daniel S.
    [J]. EXPERIMENTAL AND MOLECULAR PATHOLOGY, 2012, 93 (03) : 345 - 349
  • [5] IMAGING AND INTERVENTION IN ACUTE-PANCREATITIS
    BALTHAZAR, EJ
    FREENY, PC
    VANSONNENBERG, E
    [J]. RADIOLOGY, 1994, 193 (02) : 297 - 306
  • [6] Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus
    Banks, Peter A.
    Bollen, Thomas L.
    Dervenis, Christos
    Gooszen, Hein G.
    Johnson, Colin D.
    Sarr, Michael G.
    Tsiotos, Gregory G.
    Vege, Santhi Swaroop
    [J]. GUT, 2013, 62 (01) : 102 - 111
  • [7] Basar O, 2016, PANCREAS, V45, P1497
  • [8] Serous cystadenoma of the pancreas - Limitations and pitfalls of endoscopic ultrasound-guided fine-needle aspiration biopsy
    Belsley, Nicole A.
    Pitman, Martha B.
    Lauwers, Gregory Y.
    Brugge, William R.
    Deshpande, Vikram
    [J]. CANCER CYTOPATHOLOGY, 2008, 114 (02) : 102 - 110
  • [9] Solid-Pseudopapillary Neoplasm of the Pancreas: Cytomorphologic Findings and Literature Review
    Bhatnagar, Ramneesh
    Olson, Matthew T.
    Fishman, Elliot K.
    Hruban, Ralph H.
    Lennon, Anne M.
    Ali, Syed Z.
    [J]. ACTA CYTOLOGICA, 2014, 58 (04) : 347 - 355
  • [10] Pancreatic Cystic Endocrine Tumors: A Different Morphological Entity Associated with a Less Aggressive Behavior
    Boninsegna, Letizia
    Partelli, Stefano
    D'Innocenzio, Maria Michela
    Capelli, Paola
    Scarpa, Aldo
    Bassi, Claudio
    Pederzoli, Paolo
    Falconi, Massimo
    [J]. NEUROENDOCRINOLOGY, 2010, 92 (04) : 246 - 251