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分支型胰管内乳头状黏液性肿瘤:更新。

Branch-type intraductal papillary mucinous neoplasms: an update.

机构信息

Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester, UK. gg43 @ le.ac.uk

出版信息

Pancreatology. 2011;11(3):336-42. doi: 10.1159/000329405. Epub 2011 Jul 12.

DOI:10.1159/000329405
PMID:21757971
Abstract

BACKGROUND/AIMS: Branch-type intraductal papillary mucinous neoplasms (BT-IPMNs) are a subset of non-inflammatory mucinous lesions of the pancreas. Selected BT-IPMNs can be managed conservatively by surveillance because of their lower malignant potential. This review aims to update the reader on advances in our knowledge of BT-IPMNs since the consensus guidelines published in 2006.

METHODS

A Pubmed search for BT-IPMNs was undertaken and relevant papers were reviewed.

RESULTS

Due to the relative scarcity of this condition, still little is known about the natural history, the best method of surveillance or the surgical and non-surgical options.

CONCLUSION

A national database of BT-IPMNs would enable a large enough cohort of patients to be followed up and valid conclusions drawn regarding the best method of treatment or surveillance. and IAP.

摘要

背景/目的:分支型胰管内乳头状黏液性肿瘤(BT-IPMNs)是胰腺非炎症性黏液性病变的一个亚类。由于其恶性潜能较低,部分 BT-IPMN 可通过监测进行保守治疗。本综述旨在介绍自 2006 年共识指南发布以来,我们对 BT-IPMN 的认识的最新进展。

方法

对 Pubmed 中有关 BT-IPMN 的文献进行了检索,并对相关文献进行了综述。

结果

由于这种疾病相对少见,我们对其自然史、最佳监测方法以及手术和非手术选择仍知之甚少。

结论

BT-IPMN 的国家数据库将能够对足够大的患者队列进行随访,并就最佳治疗或监测方法得出有效的结论。IAP。

相似文献

1
Branch-type intraductal papillary mucinous neoplasms: an update.分支型胰管内乳头状黏液性肿瘤:更新。
Pancreatology. 2011;11(3):336-42. doi: 10.1159/000329405. Epub 2011 Jul 12.
2
Assessment of a Revised Management Strategy for Patients With Intraductal Papillary Mucinous Neoplasms Involving the Main Pancreatic Duct.主胰管累及的胰管内乳头状黏液性肿瘤患者改良管理策略评估。
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3
Malignant transformation of branch duct-type intraductal papillary mucinous neoplasms of the pancreas based on contrast-enhanced endoscopic ultrasonography morphological changes: focus on malignant transformation of intraductal papillary mucinous neoplasm itself.胰腺分支状导管型胰管内乳头状黏液性肿瘤基于增强内镜超声形态学变化的恶性转化:重点关注胰管内乳头状黏液性肿瘤本身的恶性转化。
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A comparison between intraductal papillary neoplasms of the biliary tract (BT-IPMNs) and intraductal papillary mucinous neoplasms of the pancreas (P-IPMNs) reveals distinct clinical manifestations and outcomes.胆管内乳头状肿瘤(BT-IPMNs)与胰腺内乳头状黏液性肿瘤(P-IPMNs)的比较显示出明显的临床表现和结局。
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Imaging features of large intraductal papillary mucinous carcinoma of the pancreatic tail.胰尾大导管内乳头状黏液性癌的影像学特征
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Comparison of International Consensus Guidelines versus 18-FDG PET in detecting malignancy of intraductal papillary mucinous neoplasms of the pancreas.国际共识指南与 18-FDG PET 在检测胰腺导管内乳头状黏液性肿瘤恶性肿瘤中的比较。
Ann Surg. 2011 Dec;254(6):971-6. doi: 10.1097/SLA.0b013e3182383137.
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Simultaneous pancreaticoduodenectomy and distal pancreatectomy for 2 IPMNs in the head and the tail.同期行胰十二指肠切除术及胰体尾切除术治疗胰头和胰体尾的2例导管内乳头状黏液性肿瘤。
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Does PET with CT Have Clinical Utility in the Management of Patients with Intraductal Papillary Mucinous Neoplasm?PET-CT在导管内乳头状黏液性肿瘤患者的管理中是否具有临床应用价值?
J Am Coll Surg. 2015 Jul;221(1):48-56. doi: 10.1016/j.jamcollsurg.2015.04.020. Epub 2015 Apr 28.
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Education and imaging. Hepatobiliary and pancreatic: Non-cystic intraductal papillary mucinous neoplasm of the pancreas.教育与影像学。肝胆胰:胰腺非囊性导管内乳头状黏液性肿瘤。
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Diagnostic accuracy of diffusion restriction in intraductal papillary mucinous neoplasm of the pancreas in comparison with "high-risk stigmata" of the 2012 international consensus guidelines for prediction of the malignancy and invasiveness.胰腺导管内乳头状黏液性肿瘤中扩散受限的诊断准确性与2012年国际共识指南中预测恶性肿瘤和侵袭性的“高危特征”的比较。
Acta Radiol. 2017 Oct;58(10):1157-1166. doi: 10.1177/0284185116685921. Epub 2017 Jan 13.

引用本文的文献

1
Cyst Fluid Biosignature to Predict Intraductal Papillary Mucinous Neoplasms of the Pancreas with High Malignant Potential.囊液生物标志物预测具有高恶性潜能的胰腺导管内乳头状黏液性肿瘤。
J Am Coll Surg. 2019 May;228(5):721-729. doi: 10.1016/j.jamcollsurg.2019.02.040. Epub 2019 Feb 19.
2
Implications of imaging criteria for the management and treatment of intraductal papillary mucinous neoplasms - benign versus malignant findings.影像学标准对导管内乳头状黏液性肿瘤(良、恶性)的诊治的影响。
Eur Radiol. 2015 May;25(5):1329-38. doi: 10.1007/s00330-014-3520-3. Epub 2014 Nov 30.
3
Focus on the intraductal papillary mucinous neoplasm of the pancreas.
关注胰腺导管内乳头状黏液性肿瘤。
Gastroenterol Hepatol Bed Bench. 2012 Summer;5(3):123-31.
4
Invasive carcinoma derived from branch duct-type IPMN may be a more aggressive neoplasm than that derived from main duct-type IPMN.起源于分支导管型导管内乳头状黏液性肿瘤(IPMN)的浸润性癌可能比起源于主胰管型IPMN的肿瘤侵袭性更强。
Oncol Lett. 2013 Jun;5(6):1819-1825. doi: 10.3892/ol.2013.1268. Epub 2013 Mar 21.