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Advances in our understanding of cystic neoplasms of the pancreas

Abstract Our changing understanding of cystic abnormalities within the pancreas, and especially for cystic neoplasms of the pancreas, has led to a sea change in recognition, management, and interest in these lesions over the last 30 years. Unimagined improvements in cross-sectional imaging, better u...

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Bibliographic Details
Published in:The American journal of surgery 2007-10, Vol.194 (4), p.S100-S103
Main Authors: Sarr, Michael G., M.D, Schnelldorfer, Thomas, M.D, Reid Lombardo, Kaye M., M.D, Chari, Suresh T., M.D
Format: Article
Language:English
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Summary:Abstract Our changing understanding of cystic abnormalities within the pancreas, and especially for cystic neoplasms of the pancreas, has led to a sea change in recognition, management, and interest in these lesions over the last 30 years. Unimagined improvements in cross-sectional imaging, better understanding of the natural biology, aggressiveness of mucinous versus serous epithelial neoplasms, and acknowledgment of the premalignant mucinous neoplasm led to tremendous interest in cystic neoplasms in all realms of pancreatology, including gastroenterologists, radiologists, pathologists, and surgeons alike. The introduction of evermore-sensitive imaging modalities, diagnostic maneuvers, and laboratory tests have led to new considerations in management, no longer limited to mucinous versus serous epithelial pathologies. The following unanswered questions remain: (1) How aggressively should small (
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2007.05.003