随着腹部影像学检查的普及,胰腺囊性肿瘤检出率逐渐升高。因胰腺囊性肿瘤种类繁多,性质不一.病程漫长,临床诊断与治疗中不可避免存在误诊误治。笔者团队临床实践经验显示:以外科为中心,联合影像科、超声科、病理科等多学科,有助于加深对胰腺囊性肿瘤的认识.提高正确诊断和合理处理能力。然而,由于疾病本身的复杂性.多学科联合诊断与治疗中仍存在诸多困惑和难点。笔者结合胰腺囊性肿瘤影像学、外科学、病理学等的诊断与治疗进展及多学科联合实践经验,探讨其难点,以期寻求优化诊断与治疗策略。
With the development of abdominal imaging examination, detection rate of pancreatic cystic neoplasms is increasing in recent years. Misdiagnosis and unreasonable treat- ment sometimes are unavoidable since the variable subtype, pathology and natural history. Muhidisciplinary team (MDT) including surgeons, radiologists, gastro-enterologists and pathologists is very helpful to make an exact diagnosis and appropriate treatment for pancreatic cystic neoplasms. However, because of the complexities of pancreatic cystic neoplasms, challenges and difficulties of MDT always exist. In this article, authors summa- rized the newest advancement of pancreatic cystic neoplasms and highlighted the experiences in the management of pancreatic cystic neoplasms from MDT, aiming to seek the optimal strategy.