Postoperative surveillance of branch duct IPMN

Takao Ohtsuka, Masao Tanaka

研究成果: Chapter in Book/Report/Conference proceedingChapter

1 被引用数 (Scopus)

抄録

Surveillance protocol after resection of branch duct IPMNs (BD-IPMNs) is determined based on the following factors: (1) pathological grade of resected BD-IPMNs, (2) pancreatic margin status after partial pancreatectomy, (3) presence of the residual lesions left without resection in the remnant pancreas, (4) presence of concomitant PDACs at the time of operation, (5) the possibility of metachronous occurrence of BD-IPMNs, and (6) development of concomitant PDACs in the remnant pancreas. Yearly risk of PDAC development is reported to be 0.7-0.9 % in the patients with BD-IPMNs, and thus international consensus guidelines suggest that CT or MRCP at 6-month intervals is appropriate for surveillance after resection of BD-IPMNs, even though the resected IPMN is benign with negative surgical margin. Surveillance with shorter interval should be considered in patients who underwent resection of invasive IPMNs, who had positive surgical margin status, or who have significant clinical signs to suspect the progression or new development of the disease.

本文言語英語
ホスト出版物のタイトルIntraductal Papillary Mucinous Neoplasm of the Pancreas
出版社Springer Japan
ページ189-199
ページ数11
9784431544722
ISBN(電子版)9784431544722
ISBN(印刷版)4431544712, 9784431544715
DOI
出版ステータス出版済み - 11 1 2014

All Science Journal Classification (ASJC) codes

  • 医学(全般)

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