With the application of advanced imaging techniques, pancreatic intraductal lesions are being detected at an enormously increasing rate, but the majority of these lesions belong to pancreatic IPMN
. Imaging studies of pancreatic ITPN have been limited to clinical case reports except for one study suggesting "2-tone duct sign" and "cork-of-wine-bottle sign" as characteristic imaging findings of ITPN (10).
"We are very interested in growing the work in our mission in addition to growing geographically," says Sara Jones, IPMN
's executive director.
The main pancreatic duct was dilated and presented high grade dysplasia, but in the absence of a clear epithelial papillary proliferation we ruled out an IPMN
. The increased dimensions of the main pancreatic duct could be explained by inflammation or partially obstructive endoluminal tumor.
CT and MR evaluation of a main duct IPMN
shows diffuse or segmental dilation of the main pancreatic duct (Figure 6).
Overexpression of 5AC mucin was found not only in pancreatic neoplasia but also in precursor lesions: in intraductal papillary mucinous neoplasms (IPMN
) and pancreatic mucinous cystic neoplasms (MCN).
The large majority of neoplastic cysts are of ductal lineage, more frequently mucinous, IPMN
, and mucinous cystic neoplasm (MCN), but also of serous lineage (serous cystadenoma and rarely cystadenocarcinoma).
of Patients % Adenocarcinoma 36 94.7% Pseudopapillary tumour 1 2.6% IPMN
1 2.6% No.
BioGlue sealed hand sutured fish-mouth closure technique during distal pancreatectomy Number of patients 32 Median age (years; range) 62 (32-77) Gender (male: female) 15 (47%): 17 (53%) Indication Pancreatic adenocarcinoma 11 (34%) IPMN
7 (22%) Chronic pancreatitis 3 (9%) NET 2 (6%) MCN 3 (9%) Cyst adenoma 4 (13%) Others 2 (6%) Preoperative ERCP with EPT 2 (6%) and pancreatic stent placement 2 (6%) Table 2: Operative data and clinical outcome.
We report the case of our patient, in whom CP and main duct IPMN
were simultaneously detected and treated successfully by surgery.
Pesquisador Iniciante no Nucleo Academico de Pesquisas em Politica, Estado e Direito "Claudio Pacheco" - NAPPEDIC e Instituto de Pesquisa Mauricio de Nassau - IPMN
. E-mail: firstname.lastname@example.org
Report presented to the Crop and Resource management Networks Joint Meeting of INSURF, ARFSN, and IPMN
, 12-17 October 1993, Vietnam, pp: 36.
In "Zionism Unsettled," a new study guide on Israel released in January for the PC(USA)'s 2.4 million members, the IPMN
states its case clearly: Zionism is the problem, destroying both indigenous Palestinian lives and rich Jewish communities across the globe in a supremacist misinterpretation of God's word on par with "Christian exceptionalist beliefs [that] contributed to the Nazi Holocaust, the genocide of Native Americans, and countless other instances of tragic brutality."