Intraductal Papillary Mucinous Neoplasm of the Pancreas [recurso electrónico

Intraductal papillary mucinous neoplasms (IPMNs) represent an opportunity to treat pancreatic tumors before they develop into aggressive, hard-to-treat cancers. Beginning with morphological classification and its clinical significance, natural history, and malignant change of both main duct and branch duct IPMNs, this book covers the whole field of IPMNs of the pancreas. It reviews the various methods of investigation: imaging, diagnostic investigation of cyst fluid, and those using pancreatic juice; and also examines aspects ranging from the development of malignancy to the timing and method of resection, focusing on both main duct and branch duct IPMNs. Aimed at residents, clinical fellows, and pancreatologists who treat patients with this common disease of the pancreas, this book is a landmark in the current understanding and future perspectives of IPMNs of the pancreas. Front Matter....Pages i-viii Front Matter....Pages 1-1 Macroscopic Morphological Classification and Its Significance....Pages 3-10 Natural History and Malignant Change of Main Duct IPMN....Pages 11-17 Natural History and Malignant Transformation of Branch Duct IPMN....Pages 19-26 Histological Subclassification and Its Clinical Significance....Pages 27-42 Front Matter....Pages 43-43 CT and MRI/MRCP....Pages 45-66 Endosonography....Pages 67-79 Diagnostic Investigation of Pancreatic Cyst Fluid....Pages 81-101 Diagnostic Investigation Using Pancreatic Juice....Pages 103-113 Front Matter....Pages 115-115 Development of Pancreatic Carcinoma in IPMN Patients....Pages 117-128 Development of Extrapancreatic Malignancy....Pages 129-135 Surveillance of Branch-Duct IPMN: Methods and Frequency....Pages 137-150 Front Matter....Pages 151-151 Timing of Resection of Main-Duct IPMN....Pages 153-161 Method of Resection of Branch-Duct IPMN....Pages 163-169 Timing of Resection of Branch Duct IPMN....Pages 171-179 Postoperative Surveillance of Main Duct IPMN....Pages 181-188 Postoperative Surveillance of Branch Duct IPMN....Pages 189-199 Back Matter....Pages 201-204