Surgical treatment of incidentally identified pancreatic masses.

摘要: Incidentally discovered abdominal masses (incidentalomas) are increasingly being detected.1,2,3,4,5 Common incidentalomas occur within the liver, kidney and adrenal glands. In a Mayo Clinic study of computed colonography, 108 (41%) 264 patients had extracolonic findings,6 which included 30 intra-abdominal (2 were malignant renal tumours). Incidental found on 0.4% to 4.9% CT scans, it is well established that these lesions can be followed with serial imaging if they not large, hormonally active or overtly malignant.1,3,4 The majority cell carcinomas now identified incidentally, this incidental discovery appears altering natural history disease.2,7,8 hepatic have also been described little clinical relevance in 83% cases.5 There has an increase occurrence unusual tumours pancreas incidentally asymptomatic patients. These include serous cystadenomas, mucinous cystadenocarcinomas, nonfunctional neuroendocrine tumours, papillary cystic solid intraductal neoplasms.9,10,11,12,13,14 It postulated secondary widespread availability use imaging.9 Apart from all either potential.10,15,16,17 A description features pancreatic their management lacking. study, we reviewed single surgeon's 13-year experience determine assess accuracy preoperative radiologic diagnosis compared final pathological