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What are the Appropriate Surgery and Postoperative Surveillance for Intraductal Papillary Mucinous Neoplasm?

Ideno N, Nakata K, Nakamura M

Although many guidelines for pancreatic cystic neoplasms focus on the management of intraductal papillary mucinous neoplasm of the pancreas (IPMN) at the highest oncological risk, there are many issues that...
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Management Strategy and Surveillance of Intraductal Papillary Mucinous Neoplasm–Gastroenterologist’s Viewpoint

Kim TH, Chon HK

The length, the frequency, and the methods of surveillance for intraductal papillary mucinous neoplasm (IPMN) of the pancreas are still debating. According to the recent guidelines, IPMN is stratified into...
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68Ga-FAPI-46 PET/MR Detects Recurrent Cholangiocarcinoma and Intraductal Papillary Mucinous Neoplasm in a Patient Showing Increasing CEA with Negative 18F-FDG PET/CT and Conventional CT

Siripongsatian D, Promteangtrong C, Kunawudhi A, Kiatkittikul P, Chotipanich C

A patient with intrahepatic cholangiocarcinoma who underwent hepatic resection with completed neoadjuvant chemotherapy presented with increased CEA levels. Previous whole abdominal and chest CT scan revealed no evidence of local...
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Predictive Value of Localized Stenosis of the Main Pancreatic Duct for Early Detection of Pancreatic Cancer

Kanno Y, Koshita S, Ogawa T, Kusunose H, Masu K, Sakai T, Yonamine K, Kawakami Y, Fujii Y, Miyamoto K, Murabayashi T, Kozakai F, Horaguchi , Noda Y, Oikawa M, Okada T, Ito K

BACKGROUND/AIMS: In this study, we aimed to evaluate the predictive value of localized stenosis of the main pancreatic duct (MPD) for early detection of pancreatic cancer. METHODS: Among 689 patients who...
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Subtype of intraductal papillary mucinous neoplasm of the pancreas is important to the development of metachronous high-risk lesions after pancreatectomy

Kwon JE, Jang KT, Ryu Y, Kim N, Shin SH, Heo JS, Choi DW, Han IW

BACKGROUNDS/AIMS: Although intraductal papillary mucinous neoplasm (IPMN) has showed a favorable prognosis compared to pancreatic ductal adenocarcinoma, its recurrence patterns have somewhat questionable in detail. After partial pancreatectomy for IPMN,...
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Characterization of Intraductal Papillary Neoplasm of the Bile Duct with Respect to the Histopathologic Similarities to Pancreatic Intraductal Papillary Mucinous Neoplasm

Nakanuma Y, Kakuda Y, Uesaka K

Intraductal papillary neoplasms of the bile duct (IPNBs) are known to show various pathologic features and biological behaviors. Recently, two categories of IPNBs have been proposed based on their histologic...
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Surgical Indications and Postsurgical Follow-up Strategy for Pancreatic Cystic Neoplasm

Lee JH

The increasing discovery of pancreatic cystic neoplasm is a recent trend because of the widespread use and development of imaging techniques. Physicians have to recognize the different characteristics of the...
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Evaluation of malignant intraductal papillary mucinous neoplasms of the pancreas on computed tomography and magnetic resonance imaging

Seo N, Byun JH

Preoperative cross-sectional imaging, such as computed tomography and magnetic resonance imaging, plays a key role in differentiating between benign and malignant intraductal papillary mucinous neoplasms. This article reviews the imaging...
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Contrast-enhanced endoscopic ultrasound for pancreatobiliary disease

Tang RS

Endoscopic ultrasound (EUS), with or without fine needle aspiration (FNA), has become an essential tool in the evaluation of pancreatobiliary diseases. Although conventional EUS is superior to multidetector computed tomography...
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Prevalence, Diagnosis and Management of Pancreatic Cystic Neoplasms: Current Status and Future Directions

Farrell JJ

Cystic neoplasms of the pancreas are found with increasing prevalence, especially in elderly asymptomatic individuals. Although the overall risk of malignancy is very low, the presence of these pancreatic cysts...
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A Case Report: Cavitary Infarction Caused by Pulmonary Tumor Thrombotic Microangiopathy in a Patient with Pancreatic Intraductal Papillary Mucinous Neoplasm

Bae K, Kwon WJ, Choi SH, Lee JH, Cha HJ

Pulmonary tumor embolism is commonly discovered at autopsy, but is rarely suspected ante-mortem. Microangiopathy is an uncommon and distinct form of simple tumor pulmonary embolism. Here, we present a 52-year-old...
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Branch duct intraductal papillary mucinous neoplasm of the pancreas: single-center experience with 324 patients who underwent surgical resection

Kim YI, Shin SH, Song KB, Hwang DW, Lee JH, Park KM, Lee YJ, Kim SC

BACKGROUNDS/AIMS: International treatment guidelines for branch duct intraductal papillary mucinous neoplasm (BD-IPMN) of the pancreas have been proposed, for features associated with malignancy and invasiveness. We investigated the clinicopathological characteristics...
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A Case of Branch Duct Intraductal Papillary Mucinous Neoplasm Mimicking Pseudocysts Complicated by Recurrent Pancreatitis

Kang SH, Kim KH, Kim TN

Branch duct intraductal papillary mucinous neoplasms (BD-IPMNs) are characterized by cystic dilation of secondary ducts clearly communicating with a normal-sized main pancreatic duct and seem to have a less aggressive...
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Intraductal Papillary Mucinous Neoplasm with an Associated Invasive Carcinoma Manifested by Acute Pancreatitis

Kim JS, Lee SH, Han SJ, Choi JH, Kang J, Jang DK, Ryu JK, Kim YT

Idiopathic acute pancreatitis (IAP) is defined as acute pancreatitis for which the standard initial evaluation has failed to reveal the etiology. Although a tumor is a rare cause of IAP,...
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Grave Clinical Course of Pancreatic Invasive Cancer Developed in the Patients with Branch Duct IPMN: A Report of Three Cases

Bae DH, Yang JY, Kim K, Kim HW, Yoon WS, Cho B, Kim J, Han JH, Park SM

Branch duct intraductal papillary mucinous neoplasms of the pancreas (BD-IPMN) without malignant features rarely developed into invasive cancer. However, invasive cancer is aggressive once an invasive change occurs. We report...
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Differentiation of Common Pancreatic Cystic Neoplasms Based Upon Multiplicity of Cysts

Jung YY, Byun JH, Kim JH, Lee SS, Kim HJ, Lee MG

PURPOSE: To evaluate the multiplicity and mean number of cystic lesions in patients with branch duct intraductal papillary mucinous neoplasms (BD-IPMNs), serous cystadenomas (SCAs), and mucinous cystic neoplasms (MCNs) of...
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Pseudomyxoma Peritonei Caused by Ruptured Intraductal Papillary Mucinous Neoplasm of the Pancreas: A Case Report

Huh S, Lee HK, Lee MH, Yi BH, Kim HK, Jung JC, Cha JG

Pseudomyxoma peritonei (PMP) is an uncommon disease characterized by the seeding of mucin-secreting tumor cells throughout the abdomen and accumulation of mucin in the abdominal and pelvic cavities. Intraductal papillary...
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Clinical Features and Prognosis of Intraductal Papillary Mucinous Neoplasm of the Pancreas

Kim TH

  • KMID: 2268487
  • Korean J Med.
  • 2014 Feb;86(2):152-161.
Intraductal papillary mucinous neoplasm is frequently found recently and have recognized as precancerous lesions to pancreatic cancer that characterized by papillary growth of the ductal epithelium with rich mucin production...
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Synchronous Malignant Intraductal Papillary Mucinous Neoplasms of the Bile Duct and Pancreas Requiring Left Hepatectomy and Total Pancreatectomy

Moon DB, Lee SG, Jung DH, Park GC, Park YH, Park HW, Kim MH, Lee SK, Yu ES, Kim JH

Intraductal papillary mucinous neoplasm of the bile duct (IPMN-B) and intraductal papillary mucinous neoplasm of the pancreas (IPMN-P) have striking similarities and are recognized as counterparts. However, simultaneous occurrence of...
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A Case of Acute Recurrent Pancreatitis Caused by Branch Duct Type IPMN and Ampulla of Vater Adenoma with High Grade Dysplasia

Oh CK, Yoo KD, Choi HS, Lee KN, Koo GW, Lee S, Jang KS

Acute pancreatitis is an inflammatory disease that can extend to extra-pancreatic tissues and distant organs. Detecting the underlying cause is important because it helps provide an appropriate treatment plan and...
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