Pancreatic Cystic Neoplasms: An Update

• Autores: Gyanprakash A. Ketwaroo, Koenraad J. Mortele, Mandeep S. Sawhney
• Localización: Gastroenterology clinics of North America, ISSN 0889-8553, Vol. 45, Nº. 1, 2016 (Ejemplar dedicado a: Management of Pancreatic Diseases), págs. 67-81
• Idioma: inglés
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• Resumen

  • The incidence of pancreatic cystic neoplasms is rising, in part from detection through the increasing use of high-resolution cross-sectional imaging techniques. Initial diagnosis is generally based on imaging characteristics identified on computed tomography and/or MRI. Endoscopic ultrasound provides further imaging characterization and also enables fluid aspiration and analysis to additionally aid differentiation. The general approach to these lesions includes surgical intervention and/or surveillance imaging. Taking into account diverse presentations, varying malignant potential, and the uncertain natural history of some of these lesions, an evidence-based approach is limited. This article discusses recent updates in the diagnosis and management of cystic neoplasms of the pancreas.