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
Hauptverfasser: Vullierme, M.P, d’Assignies, G, Ruszniewski, P, Vilgrain, V
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container_end_page 429
container_issue 6
container_start_page 426
container_title Clinics and research in hepatology and gastroenterology
container_volume 35
creator Vullierme, M.P
d’Assignies, G
Ruszniewski, P
Vilgrain, V
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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source MEDLINE; ScienceDirect Journals (5 years ago - present)
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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