Pancreatic cystic neoplasms: management and unanswered questions.

摘要: Approximately 10% of persons 70 years old or older are now diagnosed with pancreatic cysts, but it is not clear which ones require additional analysis, interventions, follow-up. Primary care doctors rely on gastroenterologists for direction because no one wants to miss a diagnosis cancer, meanwhile there pressure limit use diagnostic tests and costs. We review the different cystic neoplasms pancreas strategies based clinical features imaging data. discuss surgical nonsurgical management most common neoplasms, recently revised Sendai guidelines. Intraductal papillary mucinous neoplasm (particularly branch duct variant) lesion frequently identified incidentally. report what known about its pathology, risk developing into ductal adenocarcinoma, pros cons current guidelines management, potential role endoscopic ultrasound in determining cancer risk. also treatment surveillance cysts.