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Natural course and outcome of cystic lesions in the pancreas.

机译:胰腺囊性病变的自然过程和结局。

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BACKGROUND: The number of patients identified with cysts of the pancreas is increasing. The current study was undertaken to assess the natural course and malignant potential of pancreatic cysts. METHODS: From 1995 to 2008, radiology records were reviewed for the presence of cystic lesions of the pancreas (CLP) characteristics, patient demographics, and follow-up. RESULTS: Eighty-two patients met the study inclusion criteria, with a mean age at time of diagnosis of 64.4 +/- 16.7 years. Mean cyst size was 1.36 +/- 1.05 cm, with 75.6% of patients having a solitary cyst. Thirteen patients underwent surgery. Operative intervention was statistically related to symptomatic, loculated cysts with the presence of calcifications (all P <.05). Malignancy was statistically related to symptomatic (P <.05), loculated cysts (P <.01), and male gender (P <.05). CONCLUSIONS: Our data show that most pancreatic cysts found on radiographic imaging are asymptomatic, solitary, and small and can be followed safely radiographically.
机译:背景:被鉴定为胰腺囊肿的患者数量正在增加。目前的研究是为了评估胰腺囊肿的自然病程和恶性潜能。方法:从1995年至2008年,对放射学记录进行了审查,以了解胰腺囊性病变(CLP)的特征,患者的人口统计学资料和随访情况。结果:82例患者符合研究纳入标准,诊断时的平均年龄为64.4 +/- 16.7岁。平均囊肿大小为1.36 +/- 1.05 cm,其中75.6%的患者患有孤立性囊肿。 13名患者接受了手术。手术干预与有钙化的有症状,定位性囊肿在统计学上相关(所有P <.05)。恶性肿瘤与有症状(P <.05),定位性囊肿(P <.01)和男性(P <.05)相关。结论:我们的数据表明,影像学检查发现的大多数胰腺囊肿无症状,单发且小,可以通过影像学检查安全地随访。

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