无寄生虫特征的胰腺囊性病变的最佳随访:长期随访后的临床结果。

IF 3.4 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Gut and Liver Pub Date : 2024-03-15 Epub Date: 2023-10-10 DOI:10.5009/gnl230017
Dong-Won Ahn, Sang Hyub Lee, Jin Ho Choi, In Rae Cho, Dong Kee Jang, Woo Hyun Paik, Ji Bong Jeong, Ji Kon Ryu, Yong-Tae Kim
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引用次数: 0

摘要

背景/目的:胰腺囊性病变(CLP)的最佳随访时间和间隔尚未确定。本研究旨在探讨临床实践中CLP的最佳随访时间和间隔。方法:在6、12、18和24个月以及此后每12个月对没有令人担忧特征或高风险柱头的CLP患者进行计算机断层扫描随访。对前瞻性收集的数据进行了回顾性分析。结果:从2000年到2008年,共有227名CLP患者(平均初始直径1.3±0.6 cm)接受了平均120个月的随访。22名患者(9.7%)在平均47.5个月后接受了手术。4名患者(1.8%)出现恶性肿瘤,1名患者在5年内出现,3名患者在10年内出现。对114例患者(50.2%)进行了10年以上的随访。随访10年后未出现恶性肿瘤。在监测期间,37名患者(16.3%)经历了手术适应症的进展。对于直径小于2cm的CLP患者,在随访的24个月内没有出现手术适应症。结论:5年后应持续监测CLP,因为CLP具有持续的恶性转化潜力。对于临床实践中初始尺寸小于2cm的CLP,初始随访间隔24个月可能就足够了。
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Optimal Follow-up of Incidental Pancreatic Cystic Lesions without Worrisome Features: Clinical Outcome after Long-term Follow-up.

Background/aims: : The optimal duration and interval of follow-up for cystic lesions of the pancreas (CLPs) is not well established. This study was performed to investigate the optimal duration and interval of follow-up for CLPs in clinical practice.

Methods: : Patients with CLPs without worrisome features or high-risk stigmata underwent follow-up with computed tomography at 6, 12, 18, and 24 months and then every 12 months thereafter. A retrospective analysis of prospectively collected data was performed.

Results: : A total of 227 patients with CLPs detected from 2000 to 2008 (mean initial diameter, 1.3±0.6 cm) underwent follow-up for a median of 120 months. Twenty-two patients (9.7%) underwent surgery after a median of 47.5 months. Malignancies developed in four patients (1.8%), one within 5 years and three within 10 years. One hundred and fourteen patients (50.2%) were followed up for more than 10 years. No malignancy developed after 10 years of follow-up. During surveillance, 37 patients (16.3%) experienced progression to surgical indication. In patients with CLPs less than 2 cm in diameter, development of surgical indications did not occur within 24 months of follow-up.

Conclusions: : CLPs should be continuously monitored after 5 years because of the persistent potential for malignant transformation of CLPs. An interval of 24 months for initial follow-up might be enough for CLPs with initial size of less than 2 cm in clinical practice.

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来源期刊
Gut and Liver
Gut and Liver 医学-胃肠肝病学
CiteScore
7.50
自引率
8.80%
发文量
119
审稿时长
6-12 weeks
期刊介绍: Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut and Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. Gut and Liver is jointly owned and operated by 8 affiliated societies in the field of gastroenterology, namely: the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, the Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, the Korean Pancreatobiliary Association, and the Korean Society of Gastrointestinal Cancer.
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