关键词: 胰腺囊性肿瘤, 治疗不足, 过度治疗, 手术指征

Abstract: The strategy of overtreatment and undertreatment for pancreatic cystic neoplasms        YIN Jie, JIANG Kui-rong. Pancreas Center, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China 
Corresponding author: JIANG Kui-rong, E-mail:jiangkuirong@
njmu.edu.cn
Abstract    Pancreatic cystic neoplasms (PCN) consist of serous cystic neoplasms (SCN), mucinous cystic neoplasms (MCN), intraductal papillary mucinous neoplasms（IPMN）, solid pseudopapillary neoplasms and other rare cystic lesions. The biological behaviors and risk of progression to malignancy are variable. Increasing use of imaging modalities has resulted in greater numbers of PCN discovered incidentally. The optimal choice of diagnostic strategy for "high-risk" stigma differentiation, appropriate selection criteria for surgery, surgical strategy, and surveillance strategy while avoiding the risk for overtreatment have become the current trend.

Key words: pancreatic cystic neoplasms, undertreatment, overtreatment, surgical indication