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Pancreatic cystic neoplasms:a comprehensive approach to diagnosis and management

Oncology and Translational Medicine 2023年第6期9卷 269-280页

作者： Amir M.Parray Anoop Singh Vikram Chaudhari Avinash Supe Department of Surgical Gastroenterology and Minimal Access Surgery BLK Max Super Speciality HospitalNew DelhiIndia Gastrointestinal and Hepato-Pancreato-Biliary Service Department of Surgical OncologyTata Memorial CentreHomi Bhabha National InstituteMumbaiMaharashtraIndia Surgical Gastroenterology KEM HospitalMumbaiIndia

Pancreatic cystic neoplasms present a complex diagnostic scenario encompassing low-and high-grade *** prevalence varies widely,notably increasing with age,reaching 75%in individuals older than 80 *** diagnosis is crucial,as errors occur in approximately one-third of resected cysts discovered *** imaging modalities such as computed tomography,magnetic resonance imaging,and endoscopic techniques are available to address this ***,risk stratification remains problematic,with guideline inconsistencies and diagnostic accuracy varying according to cyst *** review proposed a stepwisemanagement approach,considering patient factors,imaging results,and specific *** patient-centered model offers a structured framework for optimizing the care of individuals with pancreatic cystic neoplasms.

关键词： Pancreatic cystic neoplasms cystic fluid analysis Serous cystic neoplasm Mucinous cystic neoplasm Intraductal papillary mucinous neoplasm cystic tumors

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Atypical Renal Cysts: Is MRI a Compulsory Examination in 2020 before Therapeutic Management?

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Open Journal of Urology 2020年第10期10卷 253-262页

作者： Idriss Ziani Ahmed Ibrahimi Hamza Dergamoun Omar Belouki Hachem El Sayegh Lounis Benslimane Yassine Nouini Urological Surgery Department “A” IBN Sina University Hospital CHU RABAT Rabat Morocco RABAT Faculty of Medicine Mohammed V University Rabat Morocco

Introduction: Kidney cancer represents 2% to 3% of malignant tumors, with an incidence of 5.8/100,000 in Western countries, a very specific subgroup of renal tumors that are cystic tumors. In fact, almost 50% of the population over 50 has a renal cyst. Materials and Methods: The objective of this study is to establish a correlation between the preoperative Bosniak score and the postoperative anatomopathological analysis in order to answer this question, the use of contrast ultrasound or MRI should be systematically performed before an atypical renal cyst? This is a retrospective study of 50 patients treated for renal cysts between January 2010 and March 2016. All patients have an abdominopelvic ultrasound and an abdominal scanner. Cysts have been classified according to the Bosniak classification. We treated our patients based on the radiological examination urocsanner and we classified our patients according to the classification of Bosniak, and uro MRI was performed in cases of atypical cysts or diagnostic doubt before considering a therapeutic attituderding to the classification of Bosniak. Results: In our work, the Uro MRI was sharper for atypical cysts (type IIF and Type III cyst) with sensitivity greater than that of the scanner but with a specificity similar to that of the scanner. And therefore be a key examination in the atypical kidney cysts. Conclusions: URO MRI is currently in 2020 a key examination of atypical bonsiak IIf and III cysts before management of the therapeutic load.

关键词： Atypical Cyst BosniaK cystic tumors URO MRI

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