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2015 ; 9
(5
): 571-89
Nephropedia Template TP
gab.com Text
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English Wikipedia
Prevalence, Diagnosis and Management of Pancreatic Cystic Neoplasms: Current
Status and Future Directions
#MMPMID26343068
Farrell JJ
Gut Liver
2015[Sep]; 9
(5
): 571-89
PMID26343068
show ga
Cystic neoplasms of the pancreas are found with increasing prevalence, especially
in elderly asymptomatic individuals. Although the overall risk of malignancy is
very low, the presence of these pancreatic cysts is associated with a large
degree of anxiety and further medical investigation due to concerns about
malignancy. This review discusses the different cystic neoplasms of the pancreas
and reports diagnostic strategies based on clinical features and imaging data.
Surgical and nonsurgical management of the most common cystic neoplasms, based on
the recently revised Sendai guidelines, is also discussed, with special reference
to intraductal papillary mucinous neoplasm (IPMN; particularly the branch duct
variant), which is the lesion most frequently identified incidentally. IPMN
pathology, its risk for development into pancreatic ductal adenocarcinoma, the
pros and cons of current guidelines for management, and the potential role of
endoscopic ultrasound in determining cancer risk are discussed. Finally, surgical
treatment, strategies for surveillance of pancreatic cysts, and possible future
directions are discussed.