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논문 기본 정보

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학술저널
저자정보
Ahn Dong-Won (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul Metropolitan Government Seoul) Lee Sang Hyub (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,) Choi Jin Ho (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,) Cho In Rae (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,) Jang Dong Kee (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul Metropolitan Government Seoul) Paik Woo Hyun (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,) Jeong Ji Bong (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul Metropolitan Government Seoul) Ryu Ji Kon (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,) Kim Yong-Tae (Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul National University Hospital,)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.2
발행연도
2024.3
수록면
328 - 337 (10page)
DOI
10.5009/gnl230017

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초록· 키워드

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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 followup 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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