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Multifocal branch-duct pancreatic intraductal papillary mucinous neoplasms


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Title: Multifocal branch-duct pancreatic intraductal papillary mucinous neoplasms
Authors: Tajima, Yoshitsugu / Kuroki, Tamotsu / Tsuneoka, Noritsugu / Kitasato, Amane / Adachi, Tomohiko / Mishima, Takehiro / Kosaka, Taiichiro / Kanematsu, Takashi
Issue Date: Nov-2008
Publisher: Elsevier
Citation: American Journal of Surgery, 196(5), pp.e50-e52; 2008
Abstract: The appropriate management for patients with multifocal branch-duct intraductal papillary mucinous neoplasms (IPMNs) of the pancreas involving the entire pancreatic gland remains unclear. We present a 66-year-old woman who underwent pylorus-preserving pancreaticoduodenectomy for a branch-duct intraductal papillary mucinous carcinoma demonstrating a grape-like multilocular cyst, 35 mm in diameter, in the head of the pancreas along with numerous number of small branch-duct IPMNs in the whole pancreas. Histologically, the multifocal cystic lesions were lined by a single row of columnar mucin-containing epithelial cells without atypia. The patient has been doing well without any recurrence during 9-year follow-up after surgery. Surgical removal of the prominent lesions suspicious of malignancy and a close observation of the remaining lesions in the remnant pancreas may be a reasonable treatment plan for patients with multifocal branch-duct IPMNs involving the entire pancreatic gland.
Keywords: Intraductal papillary mucinous neoplasms (IPMN) / pancreas / branch duct type / multifocal / magnetic resonance cholangiopancreatography / surgical treatment
URI: http://hdl.handle.net/10069/20694
ISSN: 00029610
DOI: 10.1016/j.amjsurg.2007.10.013
PubMed ID: 18513697
Rights: © 2003 Elsevier Inc. All rights reserved
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20694

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