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- Title
Prognosis of cancer with branch duct type IPMN of the pancreas.
- Authors
Nobuhito Ikeuchi; Takao Itoi; Atsushi Sofuni; Fumihide Itokawa; Takayoshi Tsuchiya; Toshio Kurihara; Kentaro Ishii; Shujiro Tsuji; Junko Umeda; Fuminori Moriyasu; Akihiko Tsuchida; Kazuhiko Kasuya
- Abstract
AIM: To examine the coexistence of metachronous and synchronous cancer in branch duct intraductal papillary mucinous neoplasms of the pancreas (IPMN). METHODS: We reviewed the records of 145 patients with branch duct IPMN between January 1991 and April 2008 and assessed the relationship between IPMN and intra- or extra-pancreatic carcinoma and the outcome of IPMN. RESULTS: The mean observation period was 55.9 ± 45.3 mo. Among the 145 patients, the frequency of extra-pancreatic cancer was 29.0%. The frequency of gastric cancer, colon cancer, breast cancer, and pancreatic cancer were 25.5%, 15.7%, 13.7%, and 9.8%, respectively. Twenty (13.8%) of the patients died. The cause of death was extra-pancreatic carcinoma in 40%, pancreatic cancer in 25%, IPMN per se in 20%, and benign disease in 15% of the patients. CONCLUSION: The prognosis for IPMN depends not on the IPMN per se, but on the presence of intra- or extra-pancreatic cancer.
- Publication
Annals of Gastroenterology & Hepatology, 2010, Vol 8, Issue 85, p1890
- ISSN
2043-023X
- Publication type
Article
- DOI
10.3748/wjg.v16.i15.1890