Surgical indication,diagnosis and treatment of suspected pancreatic cystic lesions

VernacularTitle:术前诊断存疑的胰腺囊性病变外科手术指征及诊治分析
Author: Jingyu MAO ; Mingquan HUANG ; Yang CHEN ; Shaojun LI ; Lan FU ; Bole TIAN
Publication Type:Journal Article
Keywords: pancreatic cystic lesions; diagnosis; surgical indication
From: Journal of Regional Anatomy and Operative Surgery 2016;25(10):735-737,738
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical indication,diagnosis and treatment of suspected pancreatic cystic lesions.Methods To-tally 341 patients were admitted into our hospital because of pancreatic cystic lesions from October 2010 to October 2015.Except the 278 confirmed cases,the clinical data of the rest 63 patients with vague diagnosis were retrospectively analyzed.Results The surgical indication of pancreatic cystic lesions were:the lesion diameter was more than 4 cm;the imaging diagnosis was malignant;the lesion was combined with obvious clinical symptoms which can not explain with other diseases;there were asymptomatic pancreatic cystic lesion and main pancre-atic duct dilation without surgical risk factors;the follow-up showed that the desease is in development.Endoscopic ultrasonography guided fine needle aspiration is a useful supplement for more accurate diagnosis.However,it is an uncertain diagnostic value currently.Conclusion Diameter of lesion,uncertain imaging diagnosis,severe abdominal symptoms,obstructive jaundice and abnormal serum tumor markers are the surgical indication for patients.