Clinical Approach to Incidental Pancreatic Cystic Lesions.
10.4166/kjg.2010.55.3.154
- Author:
Sang Hyub LEE
1
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. gidoctor@snubh.org
- Publication Type:Review ; English Abstract
- Keywords:
Cystic lesions;
Pancreas;
Management;
Follow-up
- MeSH:
Cystadenocarcinoma, Mucinous/diagnosis/epidemiology/therapy;
Cystadenocarcinoma, Papillary/diagnosis/epidemiology/therapy;
Cystadenocarcinoma, Serous/diagnosis/epidemiology/therapy;
Humans;
Incidence;
Incidental Findings;
Pancreatic Cyst/*diagnosis/epidemiology/therapy;
Pancreatic Neoplasms/*diagnosis/epidemiology/therapy;
Tomography, X-Ray Computed;
Tumor Markers, Biological/blood
- From:The Korean Journal of Gastroenterology
2010;55(3):154-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cystic lesions of the pancreas are being incidentally recognized with increasing frequency and become a common finding in clinical practice. Despite of recent remarkable advances of radiological and endoscopic assessment and a better understanding of natural history of certain subgroups of cystic lesions, differentiating among lesions and making an optimal management plan is still challenging. A multimodal approach should be performed to evaluate incidentally detected cystic lesions. Emerging evidence supports selective nonoperative management for the majority of patients with cystic lesions, but, for those in whom a suspicion of malignancy remains, surgery is indicated. Concerning long-term follow-up, there is limited data to support the ideal modality, intensity, and duration. Therefore, evidence-based guidelines for the diagnosis, management, and follow-up of cystic lesions of the pancreas should be established.
