naa a22 4500 510813887 CHVBK 20180411083455.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12328-013-0386-x doi (NATIONALLICENCE)springer-10.1007/s12328-013-0386-x Pancreatic ductal adenocarcinoma concomitant with intraductal papillary mucinous neoplasm: a report of 8 cases [Elektronische Daten] [Koichiro Mandai, Koji Uno, Kenjiro Yasuda] Branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) is recognized as a risk factor for pancreatic ductal adenocarcinoma (PDAC) that is unrelated to the malignant transformation of IPMN. We experienced 8 cases of resected PDAC concomitant with IPMN from March 1988 to December 2012, and 7 patients had >2 risk factors, including IPMN, for pancreatic cancer. Seven of the IPMNs were <30mm in size, while none had mural nodules. Four cases of PDAC were detected during the follow-up period for BD-IPMN. Neither magnetic resonance cholangiopancreaticography nor contrast-enhanced computed tomography performed 5months prior to the detection of PDAC resulted in its early detection in 2 cases. The clinical features of the 8 cases indicate that particular attention is required for patients with >1 risk factor, in addition to IPMN, for pancreatic cancer. A shorter interval of surveillance than that suggested by the international consensus guidelines 2012 is required, even if the IPMNs are small, for the early detection of PDAC. Springer Japan, 2013 IPMN nationallicence PDAC nationallicence Cancer nationallicence Pancreas nationallicence Mandai Koichiro Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut Uno Koji Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut Yasuda Kenjiro Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 248-254 1865-7257 6:3<248 2013 6 12328 https://doi.org/10.1007/s12328-013-0386-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0386-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mandai Koichiro Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut NATIONALLICENCE 700 1- Uno Koji Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut NATIONALLICENCE 700 1- Yasuda Kenjiro Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, 602-8026, Kyoto, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 248-254 1865-7257 6:3<248 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer