Diagnosis and treatment of intraductal papillary mucinous neoplasms of the pancreas, report of 16 cases

VernacularTitle:胰腺导管内乳头状黏液性肿瘤16例临床诊治体会
Author: Shulong BI ; Yuanhong XU ; Zhe LIU ; Jianpeng FAN ; Jiaohao JIANG ; Kejian GUO
Publication Type:Journal Article
Keywords: Pancreatic neoplasms; Papilloma; Diagnosis; Pancreatectomy
From: Chinese Journal of General Surgery 2014;29(9):670-672
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience in the diagnosis and treatment of intraductal papillary mucinous neoplasms (IPMN) of the pancreas.Methods The clinical data of 16 cases of intraductal papillary mucinous neoplasms of the pancreas in the First Affiliated Hospital of China Medical University from January,2000 to October,2013 was retrospectively analyzed.Results There were 9 males and 7 females,age ranging from 37 to 61 years (average 49 years).The common complaint was epigastric pain.Ultrasonography and CT scan found solid lesions in all cases,main pancreatic duct dilatation was found in 10 cases.All the cases received surgical resection of the tumor.Pathology showed adenomas in 14 cases,borderline tumors in one,and adenocarcinoma in one.14 patients were followed-up ranging from 5 to 48 months,all were alive without recurrence and metastasis.Conclusions IPMT is a special type of pancreatic tumor.Surgical resection is the most effective treatment with excellent prognosis.