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胰胆管型导管内乳头状黏液性肿瘤的异常影像学表现

Unusual imaging findings of pancreatobiliary-type intraductal papillary mucinous neoplasm.

作者信息

Koiwai Akinobu, Hirota Morihisa, Takasu Atsuko, Endo Katsuya, Kogure Takayuki, Meguro Takayoshi, Murakami Keigo, Satoh Kennichi

机构信息

Division of Gastroenterology Tohoku Medical and Pharmaceutical University Sendai Japan.

Division of Pathology Tohoku Medical and Pharmaceutical University Sendai Japan.

出版信息

JGH Open. 2020 Nov 16;5(1):153-154. doi: 10.1002/jgh3.12453. eCollection 2021 Jan.

DOI:10.1002/jgh3.12453
PMID:33490627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7812446/
Abstract

We experienced a rare case of main duct intraductal papillary mucinous neoplasm (MD-IPMN) without overt mucin production. Histological findings classified the tumor as high-grade dysplasia of pancreatobiliary-type IPMN that has been reported to show high malignant potential with a property to disseminate extensively into pancreatic ducts.

摘要

我们遇到了一例罕见的主胰管内乳头状黏液性肿瘤（MD-IPMN），无明显黏液产生。组织学检查结果将该肿瘤归类为胰胆管型IPMN的高级别异型增生，据报道这种类型具有较高的恶性潜能，有广泛扩散至胰管的特性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8114/7812446/f4453dd9e99e/JGH3-5-153-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8114/7812446/f4453dd9e99e/JGH3-5-153-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8114/7812446/f4453dd9e99e/JGH3-5-153-g001.jpg

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本文引用的文献

1
Subtype of intraductal papillary mucinous neoplasm of the pancreas is important to the development of metachronous high-risk lesions after pancreatectomy.胰腺导管内乳头状黏液性肿瘤的亚型对于胰腺切除术后异时性高危病变的发生发展至关重要。
Ann Hepatobiliary Pancreat Surg. 2019 Nov;23(4):365-371. doi: 10.14701/ahbps.2019.23.4.365. Epub 2019 Nov 29.
2
Metachronous intraductal papillary mucinous neoplasms disseminate via the pancreatic duct following resection.异时性导管内乳头状黏液性肿瘤在切除术后通过胰管播散。
Mod Pathol. 2020 May;33(5):971-980. doi: 10.1038/s41379-019-0405-7. Epub 2019 Nov 13.
3
A resected case of two branch duct-type intraductal papillary mucinous neoplasms showing different clinical courses after a two-year follow-up.
1例切除的双分支导管型导管内乳头状黏液性肿瘤，经两年随访显示出不同的临床病程。
Clin J Gastroenterol. 2017 Jun;10(3):274-278. doi: 10.1007/s12328-017-0728-1. Epub 2017 Mar 3.
4
Pathohistological subtype predicts survival in patients with intraductal papillary mucinous neoplasm (IPMN) of the pancreas.胰腺内导管乳头状黏液性肿瘤（IPMN）患者的组织病理学亚型可预测其生存情况。
Ann Surg. 2013 Aug;258(2):324-30. doi: 10.1097/SLA.0b013e318287ab73.
5
International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas.国际共识指南 2012 年：胰腺 IPMN 和 MCN 的管理。
Pancreatology. 2012 May-Jun;12(3):183-97. doi: 10.1016/j.pan.2012.04.004. Epub 2012 Apr 16.
6
Prognostic relevance of morphological types of intraductal papillary mucinous neoplasms of the pancreas.胰腺导管内乳头状黏液性肿瘤形态学类型的预后相关性。
Gut. 2011 Apr;60(4):509-16. doi: 10.1136/gut.2010.210567. Epub 2010 Dec 30.