胰腺囊性肿瘤(PCN):CT/MR诊断与处理对策
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Current clinical dilemmas in pancreatic cysticneoplasms (PCN) and topics for future research
Diagnostic investigation
► Which modality can most reliably distinguish neoplastic from non-neoplastic cysts (eg, imaging, needle-based confocal laser endomicroscopy, cyst fluid analysis, secretin-stimulated pancreatic juice collections)?
►Which modality can most reliably detect high-grade dysplasia or early cancer (neoplastic progression) in patients with PCN, to enable timely resection?
Current clinical dilemmas in pancreatic cysticneoplasms (PCN) and topics for future research
Surveillance
►What is a cost-effective and personalised approach to surveillance of (undefined) PCN?
► Which risk factors for progression need to be considered (eg, cyst size, smoking, diabetes mellitus, concurrent immunosuppression, familial pancreatic cancer history, other genetic syndromes)?
►What is the optimal modality and follow-up scheme for patients after a partial pancreatic resection for IPMN?



