AB017. S017. Is main pancreatic duct dilation really an independent risk factor for malignancy in main-duct and combined-IPMNs?

2018 ◽  
Vol 1 (1) ◽  
pp. AB017-AB017
Author(s):  
Francesca Aleotti ◽  
Stefano Crippa ◽  
Alessandra Piccioli ◽  
Enrico Longo ◽  
Francesca Di Salvo ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Independent Risk Factor ◽  
Main Duct

Is main pancreatic duct dilation really an independent risk factor for malignancy in main-duct and combined-IPMNs?

Pancreatology ◽  
2018 ◽  
Vol 18 (4) ◽  
pp. S50
Author(s):  
Francesca Aleotti ◽  
Stefano Crippa ◽  
Alessandra Piccioli ◽  
Enrico Longo ◽  
Francesca Di Salvo ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Independent Risk Factor ◽  
Main Duct

scholarly journals Intraductal papillary mucinous neoplasm of the pancreas. Personal series and synthetic review

2012 ◽  
Author(s):  
F. Gallucci ◽  
D. Avolio ◽  
R. De Ritis ◽  
L. Ferrara ◽  
U. Valentino ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Mixed Type ◽  
Pancreatic Tumors ◽  
Malignant Degeneration ◽  
Main Duct ◽  
Branch Duct ◽  
Asymptomatic Patients ◽  
Risk Of Malignancy ◽  
Tumor Types

Intraductal papillary mucinous neoplasms (IPMNs) are rare pancreatic tumors, accounting for less than 1-2% of all neoplasms of the pancreas. The main characteristic of IPMNs is their favorable prognosis, as these pre-malignant or malignant lesions are usually slow-growing tumors and radical surgery is frequently possible. According to the localization of the lesions, three different tumor types have been identified: the main-duct IPMN, the branch-duct IPMN and the mixed-type IPMN (involving both the main pancreatic duct and the side branches). IMPNs do not present pathognomonic signs or symptoms. The obstruction of the main pancreatic duct system may cause abdominal pain and acute pancreatitis (single or recurrent episodes). The tumor may be incidentally discovered in asymptomatic patients, particularly in those with branch-duct IPMNs. In clinical practice, any non-inflammatory cystic lesion of the pancreas should be considered as possible IPMN. Computed tomography, magnetic resonance imaging with cholangiopancreatography and endoscopic ultrasonography can localize an IPMN and assess its morphology and size. The choice between non-operative and surgical management depends on the risk of malignancy and on the definitive distinction between benign and malignant IPMNs. Main-duct IPMNs have a high risk of malignant degeneration, especially in older patients. The clinical and radiological features, as well as treatment and outcome, of eight patients with IPMN (five with main-duct, two with branch-duct and one with mixed-type) observed by the authors over the last ten years are presented.

Safety of Intraoperative Panc-retoscopy for the Investigation of Main Pancreatic Duct Involvement and Assessment of Skip Lesions in Operated main duct involving IPMNs: A Feasibility Study

Pancreatology ◽  
2017 ◽  
Vol 17 (3) ◽  
pp. S108-S109
Author(s):  
Urban Arnelo ◽  
Roberto Valente ◽  
Markus Reuterwall ◽  
Magnus Konradsson ◽  
Zeeshan Ateeb ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Feasibility Study ◽  
Main Pancreatic Duct ◽  
Main Duct ◽  
Skip Lesions

Safety of intraoperative pancretoscopy for the investigation of main pancreatic duct involvement and assessment of skip lesions in operated main duct involving IPMNs: A feasibility study

Pancreatology ◽  
2017 ◽  
Vol 17 (4) ◽  
pp. S47
Author(s):  
Urban Arnelo ◽  
Roberto Valente ◽  
Zeeshan Ateeb ◽  
Markus Hansson Reutewall ◽  
Elena Rangelova ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Feasibility Study ◽  
Main Pancreatic Duct ◽  
Main Duct ◽  
Skip Lesions

scholarly journals Not all mixed-type intraductal papillary mucinous neoplasms behave like main-duct lesions: Implications of minimal involvement of the main pancreatic duct

Surgery ◽  
2014 ◽  
Vol 156 (3) ◽  
pp. 611-621 ◽  
Author(s):  
Klaus Sahora ◽  
Carlos Fernández-del Castillo ◽  
Fei Dong ◽  
Giovanni Marchegiani ◽  
Sarah P. Thayer ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Mixed Type ◽  
Main Duct ◽  
Intraductal Papillary Mucinous Neoplasms ◽  
Mucinous Neoplasms
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