دانلود مقاله ترجمه شده ضایعات کیستیک پانکراس

KEY POINTS

 The majority of pancreatic cystic neoplasms are discovered incidentally.

 Mucinous cystic neoplasms (MCN) are predominantly found in female. In general, all MCN need be evaluated for surgical resection.

 MD-IPMN carries the highest risk of malignant transformation among pancreatic cystic neoplasm. All MD-IPMN should be considered for surgical resection.

 SB-IPMN carries significantly less chance of malignant transformation. Observation should be considered especially in smaller, asymptomatic lesions, and with no worrisome features.

 The diagnosis of pancreatic cystic neoplasm should be considered when a mature cyst is seen early in the course of 1st pancreatitis attack.

CYSTIC NEOPLASMS

With the ease of cross-sectional imaging, cystic lesions of the pancreas have become more commonly identified. Therefore, it is highly likely that every general surgeon will be asked for an opinion regarding a patient with a cyst in their pancreas. It is important that the general surgeon has a working knowledge of the types of cystic lesions of the pancreas and, more important, when these need to be observed and when they need to be resected. The purpose of this article is to outline the basic pathway of management of cystic lesions of the pancreas.