title: [Cystic neoplasms of the pancreas. Diagnostic and therapeutic management].
abstract: Management of the cystic lesions of the pancreas is of interest to general and pancreatic surgeons and physicians of other disciplines: gastroenterology, internal medicine, endoscopy, radiology, pathology, etc. The majority of cystic lesions are inflammatory pseudo-cysts. Cystic neoplasms represents only 10% of cystic lesions of the pancreas and 1% of pancreatic tumours. Preoperative diagnosis is crucial given the differences in natural history of the spectrum of benign, malignant, and borderline lesions. Serous cystadenoma is a benign lesion that requires non-surgical management if there are no symptoms. Mucinous neoplasms are premalignant lesions that mainly require pancreatic resection. Despite improved radiographic imaging techniques, definitive diagnosis is only made after studying the resection sample. The pancreatic surgical risk is a problem for the appropriate management of these patients.
authors.affiliation: Unidad de Cirugía Hepato-bilio-pancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. rjorba@csub.scs.es
authors.forename: Rosa
authors.initials: R
authors.lastname: Jorba
authors.forename: Joan
authors.initials: J
authors.lastname: Fabregat
authors.forename: Francisco G
authors.initials: FG
authors.lastname: Borobia
authors.forename: Juli
authors.initials: J
authors.lastname: Busquets
authors.forename: Emilio
authors.initials: E
authors.lastname: Ramos
authors.forename: Jaume
authors.initials: J
authors.lastname: Torras
authors.forename: Laura
authors.initials: L
authors.lastname: Lladó
authors.forename: Carlos
authors.initials: C
authors.lastname: Valls
authors.forename: Teresa
authors.initials: T
authors.lastname: Serrano
authors.forename: Antoni
authors.initials: A
authors.lastname: Rafecas
mesh_terms: D000465:Algorithms; D002758:Cholangiography; D018293:Cystadenoma, Serous / Q000473:pathology* / Q000601:surgery*; D003560:Cysts / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D003937:Diagnosis, Differential; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D010190:Pancreatic Neoplasms / Q000145:classification / Q000473:pathology* / Q000601:surgery*