지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Intraductal papillary mucinous neoplasm is frequently found recently and have recognized as precancerous lesions to pancreaticcancer that characterized by papillary growth of the ductal epithelium with rich mucin production and cystic dilatation of the mainpancreatic duct and/or its branches. These tumors are asymptomatic and often multifocal. Preoperative differentiation betweenbenign and malignant lesions is important to select the most appropriate treatment and to improve prognosis. Surgical resection isthe treatment of choice to avoid malignant transformation when predictive factors for malignancy are present. These factors includemural nodule in the cyst, main pancreatic duct dilation, thick septum, cyst greater than 3 cm, atypias in the cyst fluid and thepresence of symptoms. The follow-up of these patients who do not undergo surgical resection, is of great importance, since patientswith IPMN appear to be at risk for pancreatic cancer. Patients who retain a portion of their pancreas following resection of an IPMNneed to be followed up with periodic imaging to detect recurrences and metachronous lesions.
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참고문헌 (23)
참고문헌 신청
Abdeljawad K / 2013 / Prevalence of malignancy in patients with pure main duct intraductal papillary mucinous neoplasms / Gastrointest Endosc
Akita H / 2011 / Mural nodule in branch duct-type intraductal papillary mucinous neoplasms of the pancreas is a marker of malignant transformation and indication for surgery
Allen PJ / 2006 / A selective approach to the resection of cystic lesions of the pancreas: results from 539 consecutive patients / Ann Surg 244 : 572 ~ 582
Bastid C / 1991 / Mucinous ductal ectasia of the pancreas: a premalignant disease and a cause of obstructive pancreatitis / Pancreas 6 : 15 ~ 22
Capurso G / 2013 / Risk factors for intraductal papillary mucinous neoplasm (IPMN) of the pancreas: a multicentre case-control study / Am J Gastroenterol 108 : 1003 ~ 1009
Akita H / 2011 / Mural nodule in branch duct-type intraductal papillary mucinous neoplasms of the pancreas is a marker of malignant transformation and indication for surgery
Allen PJ / 2006 / A selective approach to the resection of cystic lesions of the pancreas: results from 539 consecutive patients / Ann Surg 244 : 572 ~ 582
Bastid C / 1991 / Mucinous ductal ectasia of the pancreas: a premalignant disease and a cause of obstructive pancreatitis / Pancreas 6 : 15 ~ 22
Capurso G / 2013 / Risk factors for intraductal papillary mucinous neoplasm (IPMN) of the pancreas: a multicentre case-control study / Am J Gastroenterol 108 : 1003 ~ 1009
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