无症状胰腺囊性肿瘤诊治路径

Clinical pathway for the diagnosis and treatment of asymptomatic pancreatic cystic neoplasms

随着腹部B超和CT的广泛应用,无症状胰腺囊性肿瘤(PCN)发现率显著增高。手术是目前PCN惟一的治疗方法。对于无症状的PCN病人,手术可能伴随着一定风险和病人生活质量的下降。因此,术前通过全面评估、准确把握手术指征,在使高危病人得到及时治疗的同时,也可避免一些不必要的手术。胰腺囊性肿瘤均有复发的风险,术后的随访观察也很重要。

The prevalence of pancreatic cystic neoplasms has increased dramatically clue to the frequent use of abdominal imaging in health examination. Resection is the only treatment method for PCN at present. For asymptomatic patients , resection means high risk and a decrease in quality of life, therefore proper characterization of PCN is important not only to recognize premalignant lesions that will require surgicalresection, but also to avoid unnecessary operation. PCN has the risk of recurrence, so follow-up after resection is also very important.