Clinical analysis of intraductal papillary mucinous neoplasm of pancreas in 27 cases
10.3760/cma.j.issn.1673-4203.2011.03.006
- VernacularTitle:胰腺导管内乳头状黏液性肿瘤27例诊治分析
- Author:
Junyang LU
;
Taiping ZHANG
;
Yupei ZHAO
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Intraductal papillary mucinous neoplasm;
Diagnosis
- From:
International Journal of Surgery
2011;38(3):160-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in diagnosis and treatment of intraductal papillary mucinous neoplasm(IPMN) of the pancreas and identify potential preoperative factors predicting invasiveness of intraductal papillary mucinous neoplasm of the pancreas. Methods From September 2003 to July 2010,27 patients underwent pancreatic resection for IPMN. All cases were divided into invasive and noninvasive groups. Preoperative medical records were reviewed retrospectively between the two groups. Results Pathological results revealed 15 cases of invasive IPMN and 12 noninvasive cases. The incidence of obstructive jaundice, tumor size and serum total bilirubin values were significantly different between the two groups. The other factors including sex ratio, age, incidence of abdominal pain or back pain, diarrhea, weight loss, new onset diabetes, serum CEA, CA19-9 values showed no statistical difference. Conclusion Serum total bilirubin≥22.2μmol/L and tumor size≥3 cm could be predicting factors of invasive IPMN.
