Progression of pancreatic branch duct-type intraductal papillary mucinous neoplasms (BD-IPMNs) after surgery for extrapancreatic malignancies

Background/aims The natural history of pancreatic branch duct-type intraductal papillary mucinous neoplasms (BD-IPMNs) is still unknown. This retrospective study aims to determine the morphological changes of BD-IPMNs with attention to the history of surgical resection for extrapancreatic malignanci...

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Veröffentlicht in:Egyptian Liver Journal 2023-12, Vol.13 (1), p.58-6, Article 58
Hauptverfasser: Imoto, Akira, Ogura, Takeshi, Masuda, Daisuke, Narabayashi, Ken, Okada, Toshihiko, Abe, Yosuke, Takeuchi, Toshihisa, Inoue, Takuya, Ishida, Kumi, Nouda, Sadaharu, Higuchi, Kazuhide, Abdelaal, Usama M.
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container_issue 1
container_start_page 58
container_title Egyptian Liver Journal
container_volume 13
creator Imoto, Akira
Ogura, Takeshi
Masuda, Daisuke
Narabayashi, Ken
Okada, Toshihiko
Abe, Yosuke
Takeuchi, Toshihisa
Inoue, Takuya
Ishida, Kumi
Nouda, Sadaharu
Higuchi, Kazuhide
Abdelaal, Usama M.
description Background/aims The natural history of pancreatic branch duct-type intraductal papillary mucinous neoplasms (BD-IPMNs) is still unknown. This retrospective study aims to determine the morphological changes of BD-IPMNs with attention to the history of surgical resection for extrapancreatic malignancies. Methods and materials This study included 427 subjects with BD-IPMN at the Osaka Medical College from January 2001 to December 2019; 134 patients were included. The predictive factors for the progression of BD-IPMN based on morphological changes were evaluated by univariate as well as multivariate analyses. Furthermore, the clinical features of BD-IPMNs with progressive lesions during follow-up were investigated. Results The average interval of follow-up was 35.8 months (with a range between 12.1 and 157 months). Disease progression occurred in 6 subjects (4.5%). In two of them (1.5%), IPMN-related invasive carcinoma was found. Multivariate analysis demonstrated that surgical resection for extrapancreatic malignancies was a significant predictor of BD-IPMN progression. Conclusion The history of resection of extrapancreatic malignancies should be considered during the follow-up of BD-IPMN.
doi_str_mv 10.1186/s43066-023-00286-4
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This retrospective study aims to determine the morphological changes of BD-IPMNs with attention to the history of surgical resection for extrapancreatic malignancies. Methods and materials This study included 427 subjects with BD-IPMN at the Osaka Medical College from January 2001 to December 2019; 134 patients were included. The predictive factors for the progression of BD-IPMN based on morphological changes were evaluated by univariate as well as multivariate analyses. Furthermore, the clinical features of BD-IPMNs with progressive lesions during follow-up were investigated. Results The average interval of follow-up was 35.8 months (with a range between 12.1 and 157 months). Disease progression occurred in 6 subjects (4.5%). In two of them (1.5%), IPMN-related invasive carcinoma was found. Multivariate analysis demonstrated that surgical resection for extrapancreatic malignancies was a significant predictor of BD-IPMN progression. Conclusion The history of resection of extrapancreatic malignancies should be considered during the follow-up of BD-IPMN.</description><identifier>ISSN: 2090-6226</identifier><identifier>ISSN: 2090-6218</identifier><identifier>EISSN: 2090-6226</identifier><identifier>DOI: 10.1186/s43066-023-00286-4</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antigens ; Branch duct type ; Breast cancer ; Carbohydrates ; Colorectal cancer ; Cysts ; Development and progression ; Diabetes ; Endoscopy ; Epidemiology ; Extrapancreatic malignancy ; Gastric cancer ; Hepatology ; Intraductal papillary mucinous neoplasm ; Liver cancer ; Lung cancer ; Magnetic resonance imaging ; Medical colleges ; Medicine ; Medicine &amp; Public Health ; Microbiology ; Morphology ; Original Research Article ; Pathology ; Progression after surgery ; Statistical analysis ; Surgery ; Surgical stress ; Tumors ; Virology</subject><ispartof>Egyptian Liver Journal, 2023-12, Vol.13 (1), p.58-6, Article 58</ispartof><rights>The Author(s) 2023</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s) 2023. 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This retrospective study aims to determine the morphological changes of BD-IPMNs with attention to the history of surgical resection for extrapancreatic malignancies. Methods and materials This study included 427 subjects with BD-IPMN at the Osaka Medical College from January 2001 to December 2019; 134 patients were included. The predictive factors for the progression of BD-IPMN based on morphological changes were evaluated by univariate as well as multivariate analyses. Furthermore, the clinical features of BD-IPMNs with progressive lesions during follow-up were investigated. Results The average interval of follow-up was 35.8 months (with a range between 12.1 and 157 months). Disease progression occurred in 6 subjects (4.5%). In two of them (1.5%), IPMN-related invasive carcinoma was found. Multivariate analysis demonstrated that surgical resection for extrapancreatic malignancies was a significant predictor of BD-IPMN progression. 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This retrospective study aims to determine the morphological changes of BD-IPMNs with attention to the history of surgical resection for extrapancreatic malignancies. Methods and materials This study included 427 subjects with BD-IPMN at the Osaka Medical College from January 2001 to December 2019; 134 patients were included. The predictive factors for the progression of BD-IPMN based on morphological changes were evaluated by univariate as well as multivariate analyses. Furthermore, the clinical features of BD-IPMNs with progressive lesions during follow-up were investigated. Results The average interval of follow-up was 35.8 months (with a range between 12.1 and 157 months). Disease progression occurred in 6 subjects (4.5%). In two of them (1.5%), IPMN-related invasive carcinoma was found. Multivariate analysis demonstrated that surgical resection for extrapancreatic malignancies was a significant predictor of BD-IPMN progression. Conclusion The history of resection of extrapancreatic malignancies should be considered during the follow-up of BD-IPMN.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s43066-023-00286-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9998-668X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antigens
Branch duct type
Breast cancer
Carbohydrates
Colorectal cancer
Cysts
Development and progression
Diabetes
Endoscopy
Epidemiology
Extrapancreatic malignancy
Gastric cancer
Hepatology
Intraductal papillary mucinous neoplasm
Liver cancer
Lung cancer
Magnetic resonance imaging
Medical colleges
Medicine
Medicine & Public Health
Microbiology
Morphology
Original Research Article
Pathology
Progression after surgery
Statistical analysis
Surgery
Surgical stress
Tumors
Virology
title Progression of pancreatic branch duct-type intraductal papillary mucinous neoplasms (BD-IPMNs) after surgery for extrapancreatic malignancies
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