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KMID : 0614620100550030154
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Korean Journal of Gastroenterology
2010 Volume.55 No. 3 p.154 ~ p.161
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Clinical Approach to Incidental Pancreatic Cystic Lesions
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Lee Sang-Hyub
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Abstract
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Cystic lesions of the pancreas are being incidentally recognized with increasing frequency and become a common finding in clinical practice. Despite of recent remarkable advances of radiological and endoscopic assessment and a better understanding of natural history of certain subgroups of cystic lesions, differentiating among lesions and making an optimal management plan is still challenging. A multimodal approach should be performed to evaluate incidentally detected cystic lesions. Emerging evidence supports selective nonoperative management for the majority of patients with cystic lesions, but, for those in whom a suspicion of malignancy remains, surgery is indicated. Concerning long-term follow-up, there is limited data to support the ideal modality, intensity, and duration. Therefore, evidence-based guidelines for the diagnosis, management, and follow-up of cystic lesions of the pancreas should be established.
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KEYWORD
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Cystic lesions, Pancreas, Management, Follow-up
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