胰腺囊性肿瘤诊治进展

胰腺囊性肿瘤组织学分类广泛，随着影像学技术如CT、MRI等的不断发展，其检出率增加，因此规范化诊治成为临床面临的挑战。目前临床对胰腺囊性肿瘤的影像学特征及肿瘤标志物认识不足，未能制定合理的诊疗方案。影响力较高的胰腺囊性肿瘤诊治规范有国际共识指南、欧洲专家共识声明、美国胃肠病学会指南，本文围绕上述指南/专家共识声明对比分析其提出的诊治策略及建议，并结合超声内镜相关检查技术，为临床处理该类疾病提供参考意见。
Pancreatic cysts have many histological subtypes. With development of imaging techniques such as computed tomography and magnetic resonance imaging, detection rate of pancreatic cysts has been increasing. And standardized diagnosis and treatment of pancreatic cysts remains a clinical challenge. Due to insufficient understanding of imaging features and tumor markers of pancreatic cysts, a reasonable procedure of diagnosis and treatment has not been published so far. Several guidelines for the diagnosis and treatment of pancreatic cysts with high impact have been published, including international consensus guidelines, European experts consensus statement and American Gastroenterological Association guidelines. This review focused on the diagnosis and treatment strategies and suggestions proposed by the above guidelines, and application of endoscopic ultrasonography, so as to provid references for treatment of pancreatic cysts