Surgical treatment for mucin-producing tumors of the pancreas

Citation
Y. Fujino et al., Surgical treatment for mucin-producing tumors of the pancreas, HEP-GASTRO, 48(40), 2001, pp. 1157-1161
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
HEPATO-GASTROENTEROLOGY
ISSN journal
0172-6390 → ACNP
Volume
48
Issue
40
Year of publication
2001
Pages
1157 - 1161
Database
ISI
SICI code
0172-6390(200107/08)48:40<1157:STFMTO>2.0.ZU;2-3
Abstract
Background/Aims: Our objectives in this study were to evaluate the surgical treatment for mucin-producing tumor of the pancreas from the clinicopathol ogical and imaging features. Methodology: Thirty-one patients with mucin-producing tumor of the pancreas were examined based on clinicopathological analyses to determine the appro priate surgical treatment. Results: The clinical and imaging features easily distinguished the main du ct type of intraductal papillary lesions (type Ia), branch type of intraduc tal papillary lesions (type Ib) and mucinous cystic neoplasms (type II). Fr om pathological examinations, a dilated main pancreatic duct had the malign ant potentiality and multicentric development. Conclusions: Pancreatic segments containing a dilated main pancreatic duct should be resected in type Ia. Type Ib is sufficient for partial resection without lymphadenectomy. Type II also requires partial resection of the cys tic neoplasm. A standard lymphadenectomy may be an option when type Ia and II show invasive features.