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Korean J Helicobacter  Up Gastrointest Res > Volume 12(4); 2012 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2012;12(4):284-287.
DOI: https://doi.org/10.7704/kjhugr.2012.12.4.284    Published online December 10, 2012.
The Natural Course of the Intraductal Papillary Mucinous Neoplasm of Pancreas
Byoung Moo Lee, Hyun Joon Min, Pyoung Ahn, Sang Hyun Park, Dae Yong Kim, Gwang Ho Baik
Division of Gastroenterology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea. baikgh@hallym.or.kr
췌관 내 유두상 점액종양의 자연사
이병무, 민현준, 안 평, 박상현, 김대용, 백광호
한림대학교 의과대학 춘천성심병원 소화기내과학교실
Abstract
Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is characterized by cystic dilatation of the pancreatic duct, excessive mucin production, and papillary growth of the tumor. Occasionally, it forms a fistula into other organs. Because of the higher malignant potential of the main duct type IPMN compared to the branch duct type, patients with main duct type IPMN usually undergo surgical treatment and the natural history of the main duct type IPMN is not commonly observed in clinical practice. An 84-year-old woman was diagnosed with main duct type IPMN of pancreas, but she refused operative treatment. Seven years later she was admitted by chance for another disease, and then referred to our gastrointestinal department. We think this case can give us an insight of the natural course of the main duct type IPMN.
Key Words: Intraductal papillary mucinous neoplasm; Fistula; Natural course
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