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Difference between revisions of "Pancreas"
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→Intraductal papillary mucinous tumour: tweak
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===General=== | ===General=== | ||
*Morphologically and biologically distinct from ductal adenocarcinoma, mucinous cystic tumour and ductal papillary hyperplasia. | *Morphologically and biologically distinct from ductal adenocarcinoma, mucinous cystic tumour and ductal papillary hyperplasia. | ||
*Prognosis: | *Prognosis: | ||
**Favourable if caught early; not much different than ductal adenocarcinoma if caught late.<ref name=pmid12377813>{{cite journal |author=Maire F, Hammel P, Terris B, ''et al.'' |title=Prognosis of malignant intraductal papillary mucinous tumours of the pancreas after surgical resection. Comparison with pancreatic ductal adenocarcinoma |journal=Gut |volume=51 |issue=5 |pages=717–22 |year=2002 |month=November |pmid=12377813 |pmc=1773420 |doi= |url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=12377813}}</ref> | |||
**Dependent what is involved:<ref name=pmid20374620>{{cite journal |author=Baiocchi GL, Portolani N, Missale G, ''et al.'' |title=Intraductal papillary mucinous neoplasm of the pancreas (IPMN): clinico-pathological correlations and surgical indications |journal=World J Surg Oncol |volume=8 |issue= |pages=25 |year=2010 |pmid=20374620 |pmc=2858722 |doi=10.1186/1477-7819-8-25 |url=http://wjso.com/content/8/1/25}}</ref> | |||
***Main duct (bad prognosis). | |||
***Branch (good prognosis). | |||
Clinical: | Clinical: | ||
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*Patients may get a total pancreatectomy - as the disease is often multifocal. | *Patients may get a total pancreatectomy - as the disease is often multifocal. | ||
====Epidemiology==== | ====Epidemiology==== | ||
*~1% of all exocrine pancreatic tumours. | *~1% of all exocrine pancreatic tumours. | ||