Cystic pancreatic lesions : current evidence for diagnosis and treatment
(2011) In Scandinavian Journal of Gastroenterology 46(7-8). p.773-788- Abstract
Pancreatic cystic neoplasms are detected at an increasing frequency due to an increased use and quality of abdominal imaging. There are well known differential diagnostic difficulties concerning these lesions. The aim is to review current literature on the diagnostic options and the following treatment for cystic lesions in the pancreas focusing on serous cystadenomas, primary mucinous neoplasm of the pancreas and mucinous cystadenocarcinomas, as well as intraductal papillary mucinous neoplasms, starting with excluding pseudocysts. A conservative approach is feasible in patients with a clinical presentation suggestive of an asymptomatic serous cystadenoma. Surgical management, as well as follow-up, is discussed for each of the types of... (More)
Pancreatic cystic neoplasms are detected at an increasing frequency due to an increased use and quality of abdominal imaging. There are well known differential diagnostic difficulties concerning these lesions. The aim is to review current literature on the diagnostic options and the following treatment for cystic lesions in the pancreas focusing on serous cystadenomas, primary mucinous neoplasm of the pancreas and mucinous cystadenocarcinomas, as well as intraductal papillary mucinous neoplasms, starting with excluding pseudocysts. A conservative approach is feasible in patients with a clinical presentation suggestive of an asymptomatic serous cystadenoma. Surgical management, as well as follow-up, is discussed for each of the types of neoplastic lesions, including an uncharacterized cyst, based on patient data, symptoms, serum analysis, cyst fluid analysis and morphological features. Aspects for future diagnostics and management of these neoplasia are commented upon.
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- author
- Werner, Josefin Björk LU ; Bartosch-Härlid, Anna LU and Andersson, Roland LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Diagnosis, Differential, Humans, Neoplasms, Cystic, Mucinous, and Serous/diagnosis, Pancreatic Neoplasms/diagnosis, Pancreatic Pseudocyst/diagnosis, Watchful Waiting
- in
- Scandinavian Journal of Gastroenterology
- volume
- 46
- issue
- 7-8
- pages
- 16 pages
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000292646800002
- pmid:21288141
- scopus:79960261036
- pmid:21288141
- ISSN
- 1502-7708
- DOI
- 10.3109/00365521.2011.551892
- language
- English
- LU publication?
- yes
- id
- d35fd546-9f26-4935-a0e7-851f0164cd42 (old id 1832355)
- date added to LUP
- 2016-04-04 09:09:00
- date last changed
- 2022-04-15 22:01:00
@article{d35fd546-9f26-4935-a0e7-851f0164cd42,
abstract = {{<p>Pancreatic cystic neoplasms are detected at an increasing frequency due to an increased use and quality of abdominal imaging. There are well known differential diagnostic difficulties concerning these lesions. The aim is to review current literature on the diagnostic options and the following treatment for cystic lesions in the pancreas focusing on serous cystadenomas, primary mucinous neoplasm of the pancreas and mucinous cystadenocarcinomas, as well as intraductal papillary mucinous neoplasms, starting with excluding pseudocysts. A conservative approach is feasible in patients with a clinical presentation suggestive of an asymptomatic serous cystadenoma. Surgical management, as well as follow-up, is discussed for each of the types of neoplastic lesions, including an uncharacterized cyst, based on patient data, symptoms, serum analysis, cyst fluid analysis and morphological features. Aspects for future diagnostics and management of these neoplasia are commented upon.</p>}},
author = {{Werner, Josefin Björk and Bartosch-Härlid, Anna and Andersson, Roland}},
issn = {{1502-7708}},
keywords = {{Diagnosis, Differential; Humans; Neoplasms, Cystic, Mucinous, and Serous/diagnosis; Pancreatic Neoplasms/diagnosis; Pancreatic Pseudocyst/diagnosis; Watchful Waiting}},
language = {{eng}},
number = {{7-8}},
pages = {{773--788}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Gastroenterology}},
title = {{Cystic pancreatic lesions : current evidence for diagnosis and treatment}},
url = {{http://dx.doi.org/10.3109/00365521.2011.551892}},
doi = {{10.3109/00365521.2011.551892}},
volume = {{46}},
year = {{2011}},
}