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Jingli Chong¹, Nicole Kessa Wee¹, Cher Heng Tan^1,2

¹Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore.

Acta radiologica (Stockholm, Sweden : 1987)

|January 10, 2024

概括

小于20毫米的胰腺囊显示出患有令人担忧的特征或高风险污名的风险很低. 这表明,对于这些较小的胰腺囊的监测间隔可以安全地延长.

科学领域:

胃肠病学胃肠病学
在瘤学瘤学.
放射学放射学是一门学科.

背景情况:

由于恶性转变的风险,胰腺囊的监测至关重要.
由于频繁的成像,目前的监测协议可能会给医疗保健资源带来负担.
报告的进展率的变化需要优化监测策略.

研究的目的:

评估"福冈指南"关于胰腺囊监测的有效性.
为了确定特定的胰腺囊类型是否可行,延长监测间隔.

主要方法:

胰腺MRI/CT扫描 (2014-2016) 的回顾性审查,随访时间≥2年.
在诊断和随访时分析囊大小,令人担忧的特征 (WF) 和高风险的污名 (HRS).
在囊<20毫米和≥20毫米之间的进展和晚期瘤发展的比较.

主要成果:

囊≥20毫米更有可能出现WF/HRS (40.6%对12.4%).
较大的囊显示出更高的尺寸增加发病率 (≥5毫米在2年:20.3%对10.9%).
晚期瘤在≥20毫米的囊中更频繁地发展 (24.6%与0.5%相比).

结论:

胰腺囊<20毫米表明患WF和HRS的风险很低.
对较小的胰腺囊 (<20毫米) 进行延长的监测间隔可能是适当的.
这一发现可能有助于减少与频繁监测相关的医疗保健负担.

关键词:

胰腺是什么? 胰腺是什么?囊 (cysts) 是一种囊.时间间隔时间间隔时间间隔.恶性瘤是一种恶性瘤.风险风险风险风险风险监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督

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