Sirén Jukka
HYKS, kirurginen sairaala, operatiivinen tulosyksikkö, vatsaelinkirurgian klinikka.
Duodecim. 2013;129(6):591-8.
With the development and increasing use of imaging techniques, intraductal papillary mucinous neoplasm (IPMN) is being detected with increasing frequency. Two forms of the disease are distinguished, the rare main duct form and the common accessory pancreatic duct form. The former often progresses to malignancy, the latter only seldom. The mixed form of IPMN exhibits features of both forms. In main duct IPMN, mucin production obstructs the pancreatic duct causing its dilatation and often symptoms typical of chronic pancreatitis. Main duct IPMN is always an indication for surgery, whereas monitoring is often sufficient for side duct IPMN.
随着成像技术的发展和应用日益广泛，导管内乳头状黏液性肿瘤（IPMN）的检出率越来越高。该疾病分为两种类型，罕见的主胰管型和常见的副胰管型。前者常进展为恶性肿瘤，后者很少恶变。IPMN的混合型兼具两种类型的特征。在主胰管型IPMN中，黏液分泌阻塞胰管，导致其扩张，并常出现慢性胰腺炎的典型症状。主胰管型IPMN总是需要手术治疗，而对于副胰管型IPMN，通常进行监测就足够了。
