Commentaries
Intraductal papillary mucinous neoplasms (IPMNs): is it time to (sometimes) spare the knife?
Department of Surgery, Policlinico "GB Rossi", University of Verona, Verona, Italy
Correspondence to:
Professor Claudio Bassi, Department of Surgery, University of Verona, Piazzale LA Scuro, 10, 37134 Verona, Italy; claudio.bassi@univr.it
| The first 150 words of the full text of this article appear below. |
A study by Tanno et al1 published in this issue of Gut (see page 10.1136/gut.2007.129684) shows that a branch-duct intraductal papillary mucinous neoplasms of the pancreas (BD-IPMNs) without mural nodules can be safely followed with non-operative management, confirming the results of a prospective study carried out at our institution and recently published in this journal.2
IPMNs were first described 25 years ago by Ohashi and colleagues with the name "mucin secreting cancer of the pancreas".3 During the 1980s and early 1990s many case reports and small series of IPMNs were published but at that time IPMNs were frequently confused with other pancreatic tumours, in particular with mucinous cystic neoplasms (MCNs) of the pancreas.4 5 It was only in 1996 that the World Health Organization made a clear distinction between IPMNs and MCNs, the latter being characterised by the presence of the unique ovarian stroma with no involvement of the ductal
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- Natural history of branch duct intraductal papillary-mucinous neoplasms of the pancreas without mural nodules: long-term follow-up results
- S Tanno, Y Nakano, T Nishikawa, K Nakamura, J Sasajima, M Minoguchi, Y Mizukami, N Yanagawa, T Fujii, T Obara, T Okumura, and Y Kohgo
Gut 2008 57: 339-343.[Abstract] [Full Text] [PDF]
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