Cystic pancreatic tumors. Review of literature and proposal of a diagnostic-therapeutic pathway

In this paper the Authors consider the epidemiological, clinical, pathological, instrumental, chemical and physical findings of every type of pancreatic cystic lesions. They perform a critical examination of each of them. In this way, they can identify the most important features of every single cla...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2006-06, Vol.27 (6-7), p.281-288
Main Authors: Capaldi, M, Alessandroni, L, Bertolini, R, Barreca, M, Campanelli, A, D'Amata, G, Marini, P, Mancacci, R, Sorgi, G, Tersigni, R
Format: Article
Language:Italian
Subjects:
Aged
Biomarkers, Tumor
Biopsy
Cystadenocarcinoma, Mucinous - diagnosis
Cystadenocarcinoma, Mucinous - diagnostic imaging
Cystadenocarcinoma, Mucinous - pathology
Cystadenocarcinoma, Mucinous - surgery
Cystadenoma, Mucinous - diagnosis
Cystadenoma, Mucinous - diagnostic imaging
Cystadenoma, Mucinous - pathology
Cystadenoma, Mucinous - surgery
Cystadenoma, Serous - diagnosis
Cystadenoma, Serous - diagnostic imaging
Cystadenoma, Serous - pathology
Cystadenoma, Serous - surgery
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Pancreas - pathology
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Pancreatic Pseudocyst - diagnosis
Pancreatic Pseudocyst - diagnostic imaging
Pancreatic Pseudocyst - pathology
Radiography, Abdominal
Sensitivity and Specificity
Tomography, X-Ray Computed
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Summary:In this paper the Authors consider the epidemiological, clinical, pathological, instrumental, chemical and physical findings of every type of pancreatic cystic lesions. They perform a critical examination of each of them. In this way, they can identify the most important features of every single class. A pathway consisting in four main groups of instrumental and chemical tests (abdominal ultrasonography / EUS, CT, MR, FNA / biopsy/ assay of tumoral markers and amylase of cystic fluid) was chosen to know all these informations according to careful principles of specificity, sensitivity and diagnostic accuracy taken from international scientific literature. In each subgroup of cystic pancreatic tumor, at last, the most reliable therapeutic project is suggested according to the common international scientific agreement.
ISSN:0391-9005