Imaging IPMN: Take home messages and news
Summary IPMN is a frequent disease involving pancreatic duct. This disease could be malignant (parenchymal invasive adenocarcinoma), particularly if the main pancreatic duct is involved (this involvement is considered present if > 6 mm), if this enlargement reaches 10 mm or more, and if the patho...
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Veröffentlicht in: | Clinics and research in hepatology and gastroenterology 2011-06, Vol.35 (6), p.426-429 |
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description | Summary IPMN is a frequent disease involving pancreatic duct. This disease could be malignant (parenchymal invasive adenocarcinoma), particularly if the main pancreatic duct is involved (this involvement is considered present if > 6 mm), if this enlargement reaches 10 mm or more, and if the pathological phenotype is biliopancreatic or intestinal (malignancy is less frequent if gastric one). Invasiveness is suspected if hypodense parenchymal lesion is present, particularly near a cystical lesion or MPD, a mural nodule of the wall, or if MPD wall has got a contrast uptake. Mural nodules inside cystic branch duct are associated with in situ grade 3 malignancies. MPD IPMN must be resected to prevent malignancy. The follow-up of isolated branch duct cysts relies upon MDCT and MRI, every two years if lesion is less than 1 cm. Every one year if bigger, particularly if more than to 3 cm. |
doi_str_mv | 10.1016/j.clinre.2011.02.011 |
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This disease could be malignant (parenchymal invasive adenocarcinoma), particularly if the main pancreatic duct is involved (this involvement is considered present if > 6 mm), if this enlargement reaches 10 mm or more, and if the pathological phenotype is biliopancreatic or intestinal (malignancy is less frequent if gastric one). Invasiveness is suspected if hypodense parenchymal lesion is present, particularly near a cystical lesion or MPD, a mural nodule of the wall, or if MPD wall has got a contrast uptake. Mural nodules inside cystic branch duct are associated with in situ grade 3 malignancies. MPD IPMN must be resected to prevent malignancy. The follow-up of isolated branch duct cysts relies upon MDCT and MRI, every two years if lesion is less than 1 cm. 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Abdomen ; Humans ; Internal Medicine ; Lymphatic Metastasis ; Magnetic Resonance Imaging ; Medical sciences ; Neoplasm Staging ; Pancreatic Neoplasms - pathology ; Pancreatic Neoplasms - surgery ; Preoperative Care ; Tomography, X-Ray Computed</subject><ispartof>Clinics and research in hepatology and gastroenterology, 2011-06, Vol.35 (6), p.426-429</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011. 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This disease could be malignant (parenchymal invasive adenocarcinoma), particularly if the main pancreatic duct is involved (this involvement is considered present if > 6 mm), if this enlargement reaches 10 mm or more, and if the pathological phenotype is biliopancreatic or intestinal (malignancy is less frequent if gastric one). Invasiveness is suspected if hypodense parenchymal lesion is present, particularly near a cystical lesion or MPD, a mural nodule of the wall, or if MPD wall has got a contrast uptake. Mural nodules inside cystic branch duct are associated with in situ grade 3 malignancies. MPD IPMN must be resected to prevent malignancy. The follow-up of isolated branch duct cysts relies upon MDCT and MRI, every two years if lesion is less than 1 cm. Every one year if bigger, particularly if more than to 3 cm.</description><subject>Adenocarcinoma, Mucinous - pathology</subject><subject>Adenocarcinoma, Mucinous - surgery</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Pancreatic Ductal - pathology</subject><subject>Carcinoma, Pancreatic Ductal - surgery</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Frozen Sections</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Lymphatic Metastasis</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Neoplasm Staging</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Preoperative Care</subject><subject>Tomography, X-Ray Computed</subject><issn>2210-7401</issn><issn>2210-741X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkd1LwzAUxYMobsz9ByJ9EfGhNTdp08wHQYYfA7_ACb6FrL2d7foxk1XZf2_q5szLCeF37g3nEHIMNAAK4qIIkjKvDQaMAgSUBU72SJ8xoH4cwvv-7k6hR4bWFtSdMKIyhkPSYyBAOK5PzieVnuf13Ju8PD5delO9QO-jqdCr0Fo9R-vpOvVq_LZH5CDTpcXhVgfk7fZmOr73H57vJuPrBz_hI1j5KLiULBQppDzkkmkxo3EmZNY9c6SRkKmeRYh6loURcjHCLEJNZZLFIU8oH5CzzdylaT5btCtV5TbBstQ1Nq1VMmZubsykI8MNmZjGWoOZWpq80matgKouJlWoTUyqi0lRppw428l2QTurMN2Z_kJxwOkW0DbRZWZ0neT2nwtZxKNR99OrDYcujq8cze-23FkWuEZbNK2pXVIKlHWb1WvXSFcIgOsi5pL_APstg_Y</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Vullierme, M.P</creator><creator>d’Assignies, G</creator><creator>Ruszniewski, P</creator><creator>Vilgrain, V</creator><general>Elsevier Masson</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Imaging IPMN: Take home messages and news</title><author>Vullierme, M.P ; d’Assignies, G ; Ruszniewski, P ; Vilgrain, V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-e6388246d1d34382a6b07f68f38823e0568dab5eeabf45e369ef5ea08cf743c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adenocarcinoma, Mucinous - pathology</topic><topic>Adenocarcinoma, Mucinous - surgery</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Pancreatic Ductal - pathology</topic><topic>Carcinoma, Pancreatic Ductal - surgery</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Frozen Sections</topic><topic>Gastroenterology and Hepatology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Lymphatic Metastasis</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Neoplasm Staging</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Preoperative Care</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vullierme, M.P</creatorcontrib><creatorcontrib>d’Assignies, G</creatorcontrib><creatorcontrib>Ruszniewski, P</creatorcontrib><creatorcontrib>Vilgrain, V</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinics and research in hepatology and gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vullierme, M.P</au><au>d’Assignies, G</au><au>Ruszniewski, P</au><au>Vilgrain, V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Imaging IPMN: Take home messages and news</atitle><jtitle>Clinics and research in hepatology and gastroenterology</jtitle><addtitle>Clin Res Hepatol Gastroenterol</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>35</volume><issue>6</issue><spage>426</spage><epage>429</epage><pages>426-429</pages><issn>2210-7401</issn><eissn>2210-741X</eissn><abstract>Summary IPMN is a frequent disease involving pancreatic duct. This disease could be malignant (parenchymal invasive adenocarcinoma), particularly if the main pancreatic duct is involved (this involvement is considered present if > 6 mm), if this enlargement reaches 10 mm or more, and if the pathological phenotype is biliopancreatic or intestinal (malignancy is less frequent if gastric one). Invasiveness is suspected if hypodense parenchymal lesion is present, particularly near a cystical lesion or MPD, a mural nodule of the wall, or if MPD wall has got a contrast uptake. Mural nodules inside cystic branch duct are associated with in situ grade 3 malignancies. MPD IPMN must be resected to prevent malignancy. The follow-up of isolated branch duct cysts relies upon MDCT and MRI, every two years if lesion is less than 1 cm. Every one year if bigger, particularly if more than to 3 cm.</abstract><cop>Issy-les-Moulineaux</cop><pub>Elsevier Masson</pub><pmid>21616741</pmid><doi>10.1016/j.clinre.2011.02.011</doi><tpages>4</tpages></addata></record> |
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subjects | Adenocarcinoma, Mucinous - pathology Adenocarcinoma, Mucinous - surgery Biological and medical sciences Carcinoma, Pancreatic Ductal - pathology Carcinoma, Pancreatic Ductal - surgery Carcinoma, Papillary - pathology Carcinoma, Papillary - surgery Frozen Sections Gastroenterology and Hepatology Gastroenterology. Liver. Pancreas. Abdomen Humans Internal Medicine Lymphatic Metastasis Magnetic Resonance Imaging Medical sciences Neoplasm Staging Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Preoperative Care Tomography, X-Ray Computed |
title | Imaging IPMN: Take home messages and news |
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