Objective:To summarize the clinic characteristics of pancreatic cystic lesions and provide basis for diagnosis and treatment of the disease. Methods:The clinical data of patients with pancreatic cystic lesions from 2004 to 2014 in Shanghai General Hospital of Nanjing Medical University was retrospectively analyzed. Results:Eighty-two patients with pancreatic cystic lesions were enrolled in the investigation, of whom 26 patients were pancreatic pseudocyst, 4 retention cyst, 2 congenital cyst, 14 serous cystic neoplasm (SCN), 16 mucinous cystic neoplasm (MCN), 12 intraductal papillary mucinous neoplasm (IPMN), 7 solidpseudopapillary neoplasm (SPN) and 1 was pancreatic neuroendocrine cystic tumor. The diagnostic accuracy rates of B ultrasound, CT, MRI/MRCP, PET-CT, ERCP and EUS were 16.6%, 30.4%, 37.8%, 20%, 40% and 77.8% respectively.Sixteen cases of pancreatic pseudocysts were treated by EUS-guided transgastric drainage and the others received laparotomy. Conclusion:Pancreatic cystic lesion has no special and typical clinical manifestations. CT, MRI/MRCP and EUS play an important role in the diagnosis of pancreatic cystic lesions. All cystic lesions except pancreatic pseudocyst should be treated by surgery. |
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