{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:51Z","timestamp":1740126831750,"version":"3.37.3"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Muzin\u00f6s-zystische Neoplasien (MCN) machen 10% aller zystischen Pankreasl\u00e4sionen aus. Sie kommen fast ausschlie\u00dflich bei weiblichen Patienten vor und weisen ein ovar-\u00e4hnliches Stroma sowie h\u00e4ufig \u00d6strogen- und Progesteronrezeptoren auf. W\u00e4hrend einer Schwangerschaft k\u00f6nnen sie massiv an Gr\u00f6\u00dfe zunehmen und maligne entarten.<\/jats:p><jats:p>\n            Fallbericht Wir berichten von einer 29-j\u00e4hrigen Patientin, bei der vor einigen Jahren eine 35mm gro\u00dfe Zyste im Pankreasschwanz aufgefallen und als Pseudozyste eingestuft worden war. Im Rahmen einer Schwangerschaft kam es zu einer massiven Gr\u00f6\u00dfenzunahme der Zyste, die sich letztendlich als muzin\u00f6s-zystische Neoplasie mit fokaler maligner Transformation herausstellte.<\/jats:p><jats:p>\n            Schlussfolgerung Zystische Neoplasien des Pankreas bed\u00fcrfen eines differenzierten Managements, um einerseits eine \u00dcbertherapie, andererseits eine maligne Transformation im Intervall zu vermeiden. Patientinnen im geb\u00e4rf\u00e4higen Alter mit V.a. MCN bzw. \u00e4tiologisch nicht sicher einzuordnenden zystischen Pankreasl\u00e4sionen sollten \u00fcber das (seltene) Ph\u00e4nomen des Progresses von MCN in der Schwangerschaft aufgekl\u00e4rt und im Rahmen einer Schwangerschaft engmaschig \u00fcberwacht werden.<\/jats:p>","DOI":"10.1055\/a-2239-7898","type":"journal-article","created":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T22:48:38Z","timestamp":1713998918000},"page":"1048-1052","source":"Crossref","is-referenced-by-count":1,"title":["Massive Gr\u00f6\u00dfenprogredienz und maligne Transformation einer muzin\u00f6s-zystischen Neoplasie des Pankreas in der Schwangerschaft \u2013 ein Fallbericht"],"prefix":"10.1055","volume":"62","author":[{"given":"Katharina","family":"Scheyda-Yoo","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Innere Medizin, Gemeinschaftskrankenhaus St Elisabeth St Petrus St Johannes gGmbH, Bonn, 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