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Cystic Tumors of the Pancreas (Paperback)
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Cystic Tumors of the Pancreas (Paperback)
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Cystic tumours of the pancreas today are diagnosed more frequently
in clinical practice, mainly due to an increased use of the modern
advanced imaging modalities. Bland cysts of the pancreas most often
develop after chronic or acute inflammation of the pancreas.
However, the current knowledge concerning the development of cystic
neoplasias of the pancreas is still rudimentary.
Histopathologically, 90% of pancreatic cystic neoplasias are
represented by four types: serous microcystic (SCN), mucinous
cystic (MCN), intraductal papillary mucinous (IPMN) and solid
pseudopapillary (SPN) neoplasias. Surgical treatment of these
lesions can be highly challenging and occasionally demands complex
surgical approaches that should be put in the hands of skilled
pancreatic surgeons in experienced high-volume centres. While some
of the described cystic tumours are harmless, such as SCNs of the
pancreas, others such as IPMN and MCN harbour relevant malignant
potential. The differential diagnosis of these lesions is critical
for the patient- but often difficult. In addition, surgical
treatment, even in the hands of skilled surgeons in centres of
pancreatic surgery, can be complicated and can result in relevant
morbidity and mortality. Therefore, it is of great importance for
all doctors treating and advising patients with cystic tumours of
the pancreas, i.e. surgeons, gastroenterologists, radiologists and
pathologists as well as for the general practitioner, to have
funded knowledge in regard to epidemiology, pathology, diagnostics
and prognosis of the various pancreatic lesions, regardless of the
necessity for surgical treatment. Together with recognised
specialists in this field from Europe, the United States, and
Japan, the authors offer a broad and detailed overview over
diagnosis and the current treatment strategies for patients with
cystic tumours of the pancreas.
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