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Cystic pancreatic lesions : current evidence for diagnosis and treatment

Werner, Josefin Björk LU ; Bartosch-Härlid, Anna LU and Andersson, Roland LU (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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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
2021-10-14 13:20:13
@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},
  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},
}