Intraductal papillary mucin producing neoplasms: diagnosis and management
Á Pap, T Gyökeres, G Elek, G Takács, B Járay, B Tihanyi, G Keleti, T Tihanyi · Zeitschrift für Gastroenterologie · 2005 · Heft 05
Bibliografische Angaben
Zusammenfassung
Intraductal papillary mucin producing neoplasms (IPMN) have 3 forms: main-duct type, branch-type and combined according to the ductal changes: a cystically dilated branch duct as branch-type IPMN and a remarkably dilated main pancreatic duct with or without cystically dilated brach-ducts as main-duct type IPMN and a combination of the two forms. The branch-type IPMN is mostly benign but it can be multifocal in 30% and relapsing after resection in 10%. Invasion should be suspected in 15% mainly in symptomatic patients with cystic lesion of >3 cms, mural nodules and main-duct dilation of >10mm. The main-duct or co…