摘要
胰腺囊性病变为一组异质性疾病,分为肿瘤性和非肿瘤性。对其自然病史知之其少,大多无症状,多为其他原因影像检查时偶然发现。最常见的胰腺囊性病变包括胰腺假性囊肿、浆液性囊腺瘤、黏液性囊腺瘤、导管内乳头状黏液性肿瘤和实体假乳头状肿瘤。多种方法包括影像学、细胞学和囊液分析对诊断有帮助,但鉴别诊断具挑战性。不同类型的胰腺囊性病变处理显著不同。胰腺假性囊肿和浆液性囊腺瘤为良性病变,无症状时无须切除。而黏液性囊性病变如黏液性囊腺瘤和导管内乳头状黏液性肿瘤则具恶性倾向,这些病例常有外科切除指征。
Cystic lesions of the pancreas comprise of a heterogeneous group of diagnostic entities,which can be neoplastic or non-neoplastic.Little is known about the true nature of pancreatic cysts.The majority of these cysts are asymptomatic,and the lesions are often detected incidentally when a radiologic examination is performed for another reason.The five most common cystic lesions are pancreatic pseudocyst,serous cystic neoplasm（SCN）,mucinous cystic neoplasm（MCN）,intraductalmucinous papillary neoplasm（IPMN） and solid pseudopapillary neoplasm（SPN）.Differentiating among these cysts is challenging,and a variety of modalities including imaging,cytology,and cyst fluid analysis are useful.The management is markedly different depending on the type of cystic lesion of the pancreas.Pancreatic pseudocysts and SCNs are benign cysts and do not require resection when asymptomatic,and MCNs or IPMNs have a malignant potential in which cases surgical resection is often indicated.
出处
《医学综述》
2013年第15期2757-2761,共5页
Medical Recapitulate
关键词
胰腺
囊性病变
囊腺瘤
囊腺癌
Pancreas
Cystic lesions
Cystadenoma
Cystadenocarcima
