{"id":9808,"date":"2026-01-12T11:21:55","date_gmt":"2026-01-12T10:21:55","guid":{"rendered":"https:\/\/www.cgs-cls.cz\/?page_id=9808"},"modified":"2026-01-12T14:40:17","modified_gmt":"2026-01-12T13:40:17","slug":"cysta-pankreatu-typu-ipmn-kyoto-2024","status":"publish","type":"page","link":"https:\/\/www.cgs-cls.cz\/kalkulatory\/cysta-pankreatu-typu-ipmn-kyoto-2024\/","title":{"rendered":"Cysta pankreatu typu IPMN (Kyoto 2024)"},"content":{"rendered":"<script>\r\ndocument.addEventListener('DOMContentLoaded', function () {\r\n    const select = document.getElementById('app-cysta-select');\r\n    const contents = document.querySelectorAll('.select-content');\r\n\r\n    function updateContent() {\r\n        const value = select.value;\r\n\r\n        contents.forEach(function (el) {\r\n            el.style.display = (el.dataset.value === value) ? 'block' : 'none';\r\n        });\r\n    }\r\n\r\n    select.addEventListener('change', updateContent);\r\n    updateContent(); \r\n});\r\n<\/script>\r\n<h2>Prim\u00e1rn\u00ed zobrazovac\u00ed metody: MR\/MRCP nebo CT.\r\n<small style=\"font-size: 80%;\">(EUS m\u016f\u017ee b\u00fdt pou\u017eita pro up\u0159esn\u011bn\u00ed p\u0159i podez\u0159en\u00ed na vysok\u00fd stupe\u0148 dyspl\u00e1zie \/ invazivn\u00ed karcinom.)<\/small><\/h2>\r\n<div class=\"grid grid-gutter-half\">\r\n<div class=\"grid-item\">\r\n<div id=\"app-predikce\" class=\"responsive__table scrollbar\">\r\n<div class=\"responsive__table__inner responsive__table__inner--468\">\r\n<table class=\"wizard\" style=\"width: 100%;\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 100%;\"><select id=\"app-cysta-select\" style=\"font-weight: bold; text-transform: uppercase; font-size: 21px !important;\">\r\n<option value=\"0\">&#8594; Vyberte znak<\/option>\r\n<option value=\"1\">Znaky vysok\u00e9ho rizika<\/option>\r\n<option value=\"2\">Varovn\u00e9 znaky<\/option>\r\n<\/select>\r\n<div class=\"select-content\" style=\"display: none; padding: 1rem 0;\" data-value=\"1\">\r\n<ul>\r\n \t<li>obstruk\u010dn\u00ed ikterus (cysta v&nbsp;hlav\u011b slinivky)<\/li>\r\n \t<li>syt\u00edc\u00ed se mur\u00e1ln\u00ed nodulus \u2265 5 mm nebo solidn\u00ed komponenta MPD\u2265 10 mm<\/li>\r\n \t<li>pozitivn\u00ed nebo suspektn\u00ed cytologie (pokud byla odebr\u00e1na)<\/li>\r\n<\/ul>\r\n<em>MPD - hlavn\u00ed pankreatick\u00fd v\u00fdvod<\/em>\r\n\r\n<\/div>\r\n<div class=\"select-content\" style=\"display: none; padding: 1rem 0;\" data-value=\"2\">\r\n<ul>\r\n \t<li style=\"margin-bottom: 1rem;\"><strong>KLINICK\u00c9<\/strong>\r\n<ul style=\"margin-top: 5px;\">\r\n \t<li>akutn\u00ed pankreatitida<\/li>\r\n \t<li>elevace Ca 19-9<\/li>\r\n \t<li>diabetes nov\u011b vznikl\u00fd nebo zhor\u0161en\u00fd (&lt; 1R)<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><strong>ZOBRAZOVAC\u00cd<\/strong>\r\n<ul style=\"margin-top: 5px;\">\r\n \t<li>velikost cysty \u2265 30 mm<\/li>\r\n \t<li>zv\u011bt\u0161en\u00ed cysty \u2265 2,5 mm\/rok<\/li>\r\n \t<li>syt\u00edc\u00ed se mur\u00e1ln\u00ed nodulus &lt;5 mm<\/li>\r\n \t<li>zes\u00edlen\u00ed\/sycen\u00ed st\u011bny cysty<\/li>\r\n \t<li>MPD 5-10 mm<\/li>\r\n \t<li>n\u00e1hl\u00e1 zm\u011bna pr\u016fm\u011bru MPD s&nbsp;dist\u00e1ln\u00ed atrofi\u00ed<\/li>\r\n \t<li>lymfadenopatie<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<em>MPD - hlavn\u00ed pankreatick\u00fd v\u00fdvod<\/em>\r\n<h3 class=\"h4\" style=\"margin-top: 2rem;\">Kumulace varovn\u00fdch znak\u016f<\/h3>\r\n<table class=\"wizard\">\r\n<tbody>\r\n<tr>\r\n<td><strong>Po\u010det varovn\u00fdch znak\u016f<\/strong><\/td>\r\n<td><strong>Riziko HGD\/invazivn\u00edho karcinomu<\/strong><\/td>\r\n<\/tr>\r\n<tr><td>1<\/td><td>22&nbsp;%<\/td><\/tr>\r\n<tr><td>2<\/td><td>34&nbsp;%<\/td><\/tr>\r\n<tr><td>3<\/td><td>59&nbsp;%<\/td><\/tr>\r\n<tr><td>4<\/td><td>100&nbsp;%<\/td><\/tr>\r\n<tr><td colspan=\"2\">HGD \u2013 high grade dyspl\u00e1zie<\/td><\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<p><a class=\"button\" style=\"width: 100%; max-width: 470px;\" href=\"https:\/\/www.cgs-cls.cz\/kalkulatory\/cysta-pankreatu-typu-ipmn-kyoto-2024\/sledovani\/\" rel=\"noopener noreferrer\"><strong>Sledov\u00e1n\u00ed <small><em>(chci v\u011bd\u011bt v\u00edce)<\/em><\/small><\/strong><\/a><\/p>\r\n\r\n<em>MR \u2013 magnetick\u00e1 rezonance, MRCP \u2013 magnetick\u00e1 rezinan\u010dn\u00ed cholangiopankreatografie, EUS \u2013 endoskopick\u00e1 ultrasonografie\r\nOhtsuka T. International evidence-based Kyoto guidelines for the management of IPMN of the pankreas. Pancreatology 2024;24:255-270.<br>\r\nZp\u011btn\u00e1 vazba: <a href=\"mailto:jiri.cyrany@fnhk.cz\" target=\"_blank\" rel=\"noopener\">jiri.cyrany@fnhk.cz<\/a><\/em>","protected":false},"excerpt":{"rendered":"Prim\u00e1rn\u00ed zobrazovac\u00ed metody: MR\/MRCP nebo CT. (EUS m\u016f\u017ee b\u00fdt pou\u017eita pro up\u0159esn\u011bn\u00ed p\u0159i podez\u0159en\u00ed na vysok\u00fd stupe\u0148 dyspl\u00e1zie \/ invazivn\u00ed karcinom.) &#8594; Vyberte znak Znaky vysok\u00e9ho rizika Varovn\u00e9 znaky obstruk\u010dn\u00ed ikterus (cysta v&nbsp;hlav\u011b slinivky) syt\u00edc\u00ed se mur\u00e1ln\u00ed nodulus \u2265 5 mm nebo solidn\u00ed komponenta MPD\u2265 10 mm pozitivn\u00ed nebo suspektn\u00ed cytologie (pokud byla odebr\u00e1na) MPD <a class=\"read-more\" href=\"https:\/\/www.cgs-cls.cz\/kalkulatory\/cysta-pankreatu-typu-ipmn-kyoto-2024\/\">[...]<\/a>","protected":false},"author":6,"featured_media":0,"parent":3836,"menu_order":55,"ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9808","page","type-page","status-publish","hentry"],"acf":[],"lang":"cs","translations":{"cs":9808},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/9808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/users\/6"}],"version-history":[{"count":20,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/9808\/revisions"}],"predecessor-version":[{"id":9874,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/9808\/revisions\/9874"}],"up":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/3836"}],"wp:attachment":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/media?parent=9808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}