1.Guidelines for Diagnosis and Treatment of Pancreatic Cystic Neoplasms Based on Radiology.
Xi-Heng WANG ; Hua-Dan XUE ; Zheng-Yu JIN
Acta Academiae Medicinae Sinicae 2022;44(2):324-331
As the detection rate of pancreatic cystic neoplasms (PCN) increases,recommendations or guidelines for the diagnosis and treatment of PCN have been released from professional organizations.From the perspective of radiology,we compared seven guidelines in terms of general introduction,preoperative monitoring methods and strategies,stratification of risk factors,surgical indications,and postoperative follow-ups,aiming to provide references for the evaluation of images and the formulation of individualized approach for the treatment of PCN.
Humans
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Pancreatic Cyst/therapy*
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Pancreatic Neoplasms/therapy*
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Pregnenolone Carbonitrile
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Radiography
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Radiology
2.Clinical Approach to Incidental Pancreatic Cystic Lesions.
The Korean Journal of Gastroenterology 2010;55(3):154-161
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.
Cystadenocarcinoma, Mucinous/diagnosis/epidemiology/therapy
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Cystadenocarcinoma, Papillary/diagnosis/epidemiology/therapy
;
Cystadenocarcinoma, Serous/diagnosis/epidemiology/therapy
;
Humans
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Incidence
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Incidental Findings
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Pancreatic Cyst/*diagnosis/epidemiology/therapy
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Pancreatic Neoplasms/*diagnosis/epidemiology/therapy
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Tomography, X-Ray Computed
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Tumor Markers, Biological/blood