COMMENTARY

Intraductal papillary mucinous neoplasms of the pancreas

A new approach to managing intraductal papillary mucinous pancreatic neoplasms

Paula Ghaneh, John Neoptolemos

Division of Surgery and Oncology, School of Cancer Studies, University of Liverpool, Royal Liverpool University Hospital, Liverpool L69 3GA, UK

Correspondence to:
Correspondence to:
Professor J P Neoptolemos
Division of Surgery and Oncology, School of Cancer Studies, University of Liverpool, Royal Liverpool University Hospital, 5th Floor UCD Building, Daulby Street, Liverpool L69 3GA, UK; j.p.neoptolemos@liverpool.ac.uk

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Progress in the diagnosis and management plan for this pancreatic neoplasm

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The first 150 words of the full text of this article appear below.

A large prospective study by Salvia et al¹ published in this issue of Gut shows that a follow-up protocol for branch duct intraductal papillary mucinous neoplasms (IPMNs) appears feasible and safe (see page 1086). IPMNs of the pancreas were originally described in a number of case reports and short series of patients in the early 1990s,^2,3 and mucinous cystic neoplasms of the pancreas had been reported in the 1980s.^4–6 In 1996 the World Health Organisation (WHO) revised the criteria for the pathological diagnosis of IPMN,⁷ thus allowing the differentiation of IPMN from other mucinous/cystic neoplasms of the pancreas. This meant that a number of "different" neoplasms could now come under the single diagnostic umbrella of IPMN (table 1).

View this table:   Table 1  Classification and characteristics of intraductal papillary mucinous neoplasms (IPMNs)

 

The apparent incidence of IPMN has increased dramatically over the past 10–15 years . . . [Full text of this article]

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Relevant Article

Branch-duct intraductal papillary mucinous neoplasms of the pancreas: to operate or not to operate?

Roberto Salvia, Stefano Crippa, Massimo Falconi, Claudio Bassi, Alessandro Guarise, Aldo Scarpa, and Paolo Pederzoli
Gut 2007 56: 1086-1090. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

• Bassi, C., Crippa, S., Salvia, R. (2008). Intraductal papillary mucinous neoplasms (IPMNs): is it time to (sometimes) spare the knife?. Gut 57: 287-289 [Full Text]