What to Do With an Intraductal Papillary Mucinous Pancreatic Neoplasm? Our Experience

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• 作者：Alba Manuel Vá ; zquez ; ^{alba_manuel_vazquez@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Alberto Carabias Herná ; ndez ; Teresa Carrascosa Miró ; n ; Ainhoa Valle Rubio ; Javier M&iacute ; nguez Garc&iacute ; a ; Paloma Sanz Mu&ntilde ; oz ; Ana Serantes Gó ; mez ; José ; Mar&iacute ; a Jover Navaló ; n
• 关键词：Intraductal papillary mucinous neoplasm ; Pancreatic cystic neoplasia ; Pancreatic neoplasms ; Management ; Prognostic factors
• 刊名：Cirugía Española (English Edition)
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：94
• 期：8
• 页码：467-472
• 全文大小：436 K

文摘

Cystic pancreatic neoplasms are a heterogeneous group of pathology, and intraductal papillary mucinous neoplasia is becoming more common. The aim of this study is to review our series of cystic pancreatic neoplasms that underwent surgery and to evaluate the similarities with Fukuoka recommendations.

d="absSec_2">Methods

d="spar0010">Retrospective review of our experience analyzing clinical and radiological data, indication for surgery and pathology study of 11 patients operated on in our centre from July 2011 to July 2015, aiming to evaluate the degree of agreement with the current consensus.

d="absSec_3">Results

d="spar0015">In our series the majority of cases (7/11) had symptoms at diagnosis. Preoperative diagnosis was achieved in 10 patients using radiology and/or endoscopy. Indications for surgery were the presence of symptoms, radiological data suspicious of malignancy, and secondary branch neoplasia over 30 mm. Pathological findings were malignancy in 6/11 cases (2 invasive neoplasia, 4 high grade dysplasia), moderate dysplasia in 2/11, low-grade dysplasia in 2/11 and no dysplasia in one patient.

d="absSec_4">Conclusions

d="spar0020">Surgical indication of intraductal mucinous pancreatic neoplasms depends on the associated symptoms, size, location, risk and suspicion of malignancy.