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Dtsch Med Wochenschr 2021; 146(04): 253-260
DOI: 10.1055/a-1221-7266
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Vorgehen bei Nachweis von zystischen Pankreasraumforderungen

Management of Cystic Lesions of the Pancreas
David Anz
,
Max Seidensticker
,
Julia Mayerle
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Zystische Läsionen des Pankreas sind häufig, meistens harmlos, aber potenziell gefährlich. Die differenzialdiagnostische Einordnung der Läsionen bereitet zuweilen Schwierigkeiten, und eine korrekte Einschätzung des mit der Zyste verbundenen Gesundheitsrisikos ist für die Patienten von hoher Relevanz. Dieser Beitrag soll eine Übersicht über diagnostischen Maßnahmen, Indikationen für die Therapie und Strategien der Überwachung geben.

Abstract

Cystic pancreatic lesions are a frequent incidental finding on ultrasound or cross sectional imaging. The incidence of pancreatic lesions experience a steady climb in recent years due to an increased number of cross sectional imaging and an increasing life expectancy. The clinical challenge is to identify individuals bearing lesions with potentially malignant or pre-malignant features. Indeed, by far most cystic pancreatic lesions are not associated with an increased risk for the development of cancer. Taking into account the increasing incidence rates of cystic pancreatic lesions a rational and economic use of diagnostics is warranted. This review provides an overview on the different types of cystic lesions, the appropriate use of diagnostics and a clinical management algorithm balancing intervention and surveillance.

Schlüsselwörter

Pankreaszyste - IPMN - Pseudozyste - endoskopischer Ultraschall

Key words

cystic pancreatic lesion - IPMN - pancreatic pseudocyst - endoscopic ultrasound


Publication History

Article published online:
16 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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