Current Recommendations for Surveillance and Surgery of Intraductal Papillary Mucinous Neoplasms May Overlook Some Patients with Cancer

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Intraductal papillary mucinous neoplasms and mucinous cystadenomas: current status and recommendations.

The real prevalence of pancreatic cystic lesions remains unknown. The malignant potential of some of these lesions remains a cause for significant concern. Thus, it is mandatory to develop a strategy to clearly discriminate those cysts with a potential for malignant transformation from those that do not carry any significant risk. Intraductal papillary mucinous neoplasms and mucinous cystadenom...

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Intraductal papillary mucinous neoplasms of the pancreas.

BACKGROUND/AIMS Intraductal papillary mucinous neoplasms (IPMNs) are neoplasms of the pancreatic duct epithelium characterized by intraductal papillary growth and thick mucin secretion. Quantities of mucin fill the main and/or branches of pancreatic ducts and cause ductal dilatation. This review encompasses IPMNs, including symptoms, diagnosis, management, and prognosis. METHODS A Pubmed data...

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Background In the last decades, the attention to Intraductal Papillary Mucinous Neoplasms (IPMNs) has risen due to the increase of their incidental diagnosis. The aim of the present study was to evaluate which factors influenced survival in population affected by intraductal papillary mucinous neoplasms. Methods A retrospective study on a prospective database of 357 patients observed at our Ins...

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Intraductal papillary mucinous neoplasms: predictors of malignant and invasive pathology.

OBJECTIVE Determine whether size and other preoperative parameters predict malignant or invasive intraductal papillary mucinous neoplasia (IPMN). SUMMARY BACKGROUND DATA From 1991 to 2006, 150 patients underwent 156 operations for IPMN. METHODS Prospectively collected, retrospective review of a single academic institution's experience. All preoperative parameters including a detailed radiol...

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Intraductal papillary mucinous neoplasms of pancreas are relatively common, often arise from the pancreatic head, and comprise more than one third of resected pancreatic cysts. In these lesions, the risk of dysplasia or carcinoma varies according to the site of ductal involvement or histologic subtypes. For instance, there is a higher risk of malignancy associated with main rather than branch d...

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ژورنال

عنوان ژورنال: Journal of Gastrointestinal Surgery

سال: 2014

ISSN: 1091-255X,1873-4626

DOI: 10.1007/s11605-014-2693-z