Management of intraductal papillary mucinous neoplasms

被引：18
作者：
Crippa S. [1 ]
Castillo C.F. [1 ]
机构：
[1] Department of Surgery, Massachusetts General Hospital, Wang Ambulatory Care Center (WACC) 460, Boston, MA 02114
来源：
Current Gastroenterology Reports | 2008年 / 10卷 / 2期
关键词：
Main Pancreatic Duct; Intraductal Papillary Mucinous Neoplasm; Total Pancreatectomy; Main Duct; Mural Nodule;
D O I：
10.1007/s11894-008-0034-7
中图分类号：
学科分类号：
摘要：
Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are being diagnosed with increasing frequency, probably due to the widespread use of cross-sectional imaging. The natural history of these tumors is still largely unknown. Several studies have shown topographical as well as biological differences between main duct and branch duct IPMNs. In the past few years, diagnostic work-up and, in particular, management of these tumors have evolved significantly. Data support the need for resection of main duct IPMNs and the possibility of nonoperative management in selected cases of branch duct tumors. In this systematic review, we analyze the most recent publications related to IPMNs, with particular emphasis on problems related to managing this challenging disease. © Springer Science+Business Media, LLC 2008.
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收藏
页码：136 / 143
页数：7
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