Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: An illustrated discussion of the International Consensus Guidelines for the Management of IPMN

Verfasser / Beitragende:
[Naomi Campbell, Seth Katz, Joanna Escalon, Richard Do]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/3(2015-03-01), 663-677
Format:
Artikel (online)
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245 0 0 |a Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: An illustrated discussion of the International Consensus Guidelines for the Management of IPMN  |h [Elektronische Daten]  |c [Naomi Campbell, Seth Katz, Joanna Escalon, Richard Do] 
520 3 |a Intraductal papillary mucinous neoplasms (IPMN) are being diagnosed with increasing frequency, necessitating an algorithm to help stratify patients into low- and high-risk groups, for follow-up versus more invasive evaluation. New evidence concerning their natural history and overall risk of malignancy has emerged since the 2006 International Association of Pancreatology consensus guidelines, prompting an update in 2012, that distinguishes radiologic ‘worrisome features' from ‘high-risk stigmata'. The aim of this article is to illustrate, with case examples, the variable imaging patterns of IPMN and how their radiologic features, such as cyst size and mural nodules, are interpreted in the context of the new 2012 guidelines. The 2012 and 2006 guidelines will be compared and discussed with reference to additional studies that have since been published. Despite these guidelines, lingering uncertainty remains about the natural history of IPMN, a source of unease to both radiologists and referring clinicians alike, mandating further refinement of clinical and radiologic parameters predictive of malignancy. Emerging data regarding the risk of extrapancreatic malignancy, as well as synchronous or metachronous pancreatic ductal adenocarcinoma remote in location from a branch duct IPMN are also reviewed. With the expanding research and evolving understanding of this clinicopathologic entity across the globe, radiologists will continue to play an important role in the management of patients with IPMN. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a IPMN  |2 nationallicence 
690 7 |a Intraductal papillary mucinous neoplasm of the pancreas  |2 nationallicence 
690 7 |a Pancreatic cystic lesion  |2 nationallicence 
690 7 |a Pancreatic cancer  |2 nationallicence 
690 7 |a Pancreatic neoplasm  |2 nationallicence 
700 1 |a Campbell  |D Naomi  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
700 1 |a Katz  |D Seth  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
700 1 |a Escalon  |D Joanna  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
700 1 |a Do  |D Richard  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/3(2015-03-01), 663-677  |x 0942-8925  |q 40:3<663  |1 2015  |2 40  |o 261 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Campbell  |D Naomi  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Katz  |D Seth  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Escalon  |D Joanna  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Do  |D Richard  |u Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/3(2015-03-01), 663-677  |x 0942-8925  |q 40:3<663  |1 2015  |2 40  |o 261