Main-duct intraductal papillary mucinous neoplasm of the pancreas: a case report
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Published:2012-12-15
Issue:4
Volume:6
Page:127-134
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ISSN:2283-3137
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Container-title:Clinical Management Issues
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language:
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Short-container-title:CMI
Author:
Manetti Natalia,Faini Clara,Bucciero Francesca,Razzolini Giulia,Marsico Maria,Biagini Maria Rosa,Milani Stefano
Abstract
Three distinct entities among non-inflammatory cystic lesions of the pancreas have been defined: intraductal papillary mucinous neoplasm (IPMN), serous cystic neoplasm (SCN) and mucinous cystic neoplasm (MCN). IPMN is characterized by intraductal papillary growth and thick mucus secretion: its incidence has dramatically increased since its initial description. These lesions probably can progress towards invasive carcinoma. IPMNs are symptomatic in most cases: the typical presentation is a recurrent acute pancreatitis, without evident cause, of low or moderate severity. The diagnosis is usually based upon the imaging (CT/cholangio-MRI) demonstrating a pancreatic cystic mass, involving a dilated main duct, eventually associated to some filling defects, or a normal Wirsung duct communicating with the cyst lesion. Surgical treatment is generally indicated for main duct IPMN and branch duct IPMN with suspected malignancy (tumour size ≥ 30 mm, mural nodules, dilated main pancreatic duct, or positive cytology) or prominent symptoms. Herein we present a case of IPMN of the main duct which occurred with abdominal and back pain associated with weight loss. After the diagnosis, she successfully underwent surgery and is now in a follow-up program.
Subject
Business, Management and Accounting (miscellaneous),Medicine (miscellaneous)