アブストラクト
| Title | 高齢者の膵嚢胞性病変の特徴と診断・治療方針 |
|---|---|
| Subtitle | 特集 高齢者 (75歳以上) の膵胆道疾患の特徴と診断・治療方針 |
| Authors | 中村聡1), 仲田興平1), 阿部俊也1), 井手野昇1), 池永直樹1), 中村雅史1) |
| Authors (kana) | |
| Organization | 1)九州大学大学院医学研究院臨床・腫瘍外科 |
| Journal | 胆と膵 |
| Volume | 43 |
| Number | 10 |
| Page | 1019-1024 |
| Year/Month | 2022 / 10 |
| Article | 報告 |
| Publisher | 医学図書出版 |
| Abstract | 「要約:」高齢化社会において, 偶発的に膵嚢胞性病変が診断される機会が多くなった. 膵嚢胞性病変を評価する際, 手術適応かどうかの判断が重要であるが, 組織診断は困難なことが多く, 画像診断によるところが大きい. 膵管内乳頭粘液性腫瘍(IPMN)は高齢者に多く, その治療方針は国際診療ガイドラインに沿って決定される. 通常, high-risk stigmataを有するIPMNは切除対象となるが, 膵切除術は高侵襲であり, 高齢者に対しては慎重な判断が求められる. 切除対象とならないIPMNの場合でも, IPMN自体の悪性化や併存膵癌発症リスクがあるため長期的な経過観察が必要だが, 至適観察期間は明確ではない. 高齢者のIPMNに対して治療方針を決定する際には, 益と害のバランスを考慮し, 十分なインフォームドコンセントの上でなされるべきである. |
| Practice | 臨床医学：内科系 |
| Keywords | 膵嚢胞性病変, IPMN, 高齢者 |
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