Mucinous pancreatic tumors: ERCP findings

Nickl, Nicholas; Lawson, J. Mark; Cotton, Peter B.

doi:10.1016/s0016-5107(91)70670-6

Cited by 57 publications

(13 citation statements)

References 31 publications

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“…Until 1996, IPMTs were described in case reports and in small series under various names including mucinous ductal ectasia [3], intraductal papillary hyperplasia [4], villous adenoma [5], intraductal cystadenoma [6], mucinous pancreatic tumor [7], intraductal papillary neoplasm [8], ductectatic mucinous cystadenoma and adenocarcinoma [9], mucin-producing carcinoma [10], intraductal papillary adenocarcinoma [11], and adenocarcinoma with a predominant intraductal component [12]. A pathognomonic sign for an IPMT is mucinous secretion through the papilla of Vater that can be observed endoscopically.…”

Section: Introductionmentioning

confidence: 99%

Intraductal papillary mucinous tumors of the pancreas

Schmitz-Winnenthal

Z’graggen²,

Volk³

et al. 2003

Curr Gastroenterol Rep

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Cystic neoplasms of the exocrine pancreas are a small fraction of pancreatic tumors. Within that group of cystic neoplasms, intraductal papillary mucinous tumors (IPMTs) can be distinguished from mucinous cystic neoplasms, serous cystic neoplasms, and pseudopapillary cystic tumors. Awareness of IPMTs has increased since the World Health Organization classified these tumors as its own group in 1996. Because of their favorable prognosis, an extensive diagnostic workup for IPMTs should be performed in patients presenting with cystic lesions of the pancreas. This workup often leads to the diagnosis and the predominant tumor location and size, although the extent of the ductal changes can only be established by histopathology. Surgical resection is the therapy of choice for IPMTs. The type of resection depends upon the extent of the quantitative and qualitative ductal involvement. Total pancreatectomy is currently the treatment for an IPMT that comprises the entire main duct.

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Section: Introductionmentioning

confidence: 99%

Intraductal papillary mucinous tumors of the pancreas

Schmitz-Winnenthal

Z’graggen²,

Volk³

et al. 2003

Curr Gastroenterol Rep

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“…Most IPMTs are found in men in their sixth or seventh decade of life and are located in the pancreatic head, whereas mucinous cystic tumors are usually found in middle-aged women and located in the body and tail of the pancreas. [3][4][5] According to our MEDLINE and Japana Centra Revuo Medicina search, only two reports of IPMT of the pancreas in a young patient have been documented. 11,12 Infrequent presentations such as the one we described in this report can serve to clarify the epidemiology of IPMT, since it is still unknown whether they are in fact anecdotal or the result of the increased awareness of clinicians and better imaging modalities.…”

Section: Discussionmentioning

confidence: 99%

“…4 To the best of our knowledge, only one other case of IPMT in a patient younger than 30 years old has ever been reported. 5 Whether this reflects a true epidemiological feature or the inability of clinicians to diagnose these tumors in earlier stages is still unknown. We report this case of IPMT in a young man for two reasons: first, to contribute to a better understanding of the epidemiology of IPMTs, and second, to update the appropriate management with the aid of modern technology.…”

mentioning

confidence: 99%

Intraductal Papillary Mucinous Tumor of the Pancreas in a Young Man: Report of a Case

et al. 2003

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We report the rare case of an intraductal papillary mucinous tumor (IPMT) in a man younger than 30 years of age. The patient was admitted with upper abdominal pain and an elevated amylase level of 662 IU/l. Ultrasonography showed a cystic mass in the pancreatic body and endoscopic retrograde cholangiopancreatography (ERCP) revealed a dilated pancreatic duct with a filling defect communicating with the tumor. He was successfully treated by segmental resection, which seems to be the best surgical option for pancreatic body tumors since it results in long-term survival and preserves as much pancreatic parenchyma as possible. Nevertheless, it can only be done in the absence of additional nodules along the pancreatic duct. A pathological diagnosis of intraductal papillary adenocarcinoma of the noninvasive type was confirmed, and both stumps were free of tumor.

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“…Although multiple loculations and peripheral calcification have been described as features of neoplasia 1 even CT may be unreliable in distinguishing neoplasia from pseudocyst, serous from mucinous tumour or benign from malignant with sensitivity rates of 28–95% being reported in various study series 5 . Communication between the pancreatic duct and cystic cavity at ERCP has been reported in only one case of cystic neoplasm 6 . Demonstration of mucus in the pancreatic duct has also been reported 6 but is a feature of mucinous ductal ectasia as distinct from mucinous cystic neoplasia.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic difficulties in the differentiation of pancreatic pseudocyst and cystic pancreatic neoplasm

Artioukh

Zeiderman

2002

Annals of the College of Surgeons of Hong Kong

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Cystic tumours of the pancreas are rare and may be difficult to differentiate from pseudocysts, especially when the lesion is discovered after abdominal trauma. The case of a 48-year-old woman who developed a cystic lesion of the pancreas 4 months after blunt abdominal trauma is reported. Whilst the lesion had diagnostic features consistent with pseudocyst, the final diagnosis of benign mucinous cystadenoma was established only after radical resection 27 months later. The possible role of trauma in its aetiology is discussed.

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Mucinous pancreatic tumors: ERCP findings

Cited by 57 publications

References 31 publications

Intraductal papillary mucinous tumors of the pancreas

Intraductal papillary mucinous tumors of the pancreas

Intraductal Papillary Mucinous Tumor of the Pancreas in a Young Man: Report of a Case

Diagnostic difficulties in the differentiation of pancreatic pseudocyst and cystic pancreatic neoplasm

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