| Theme | Management of Cystic Diseases of the Pancreas | |
|---|---|---|
| Title | Strategies for Clinical Diagnosis, Treatment and Follow-up for Intraductal Papillary Mucinous Tumors of the Pancreas | |
| Publish Date | 2002/03 | |
| Author | Akira Fujinaga | Department of Gastroenterology, Sapporo Kosei General Hospital |
| Author | Toshihiro Suga | Department of Gastroenterology, Sapporo Kosei General Hospital |
| Author | Hiroyuki Miyakawa | Department of Gastroenterology, Sapporo Kosei General Hospital |
| Author | Tatsuya Nagakawa | Department of Gastroenterology, Sapporo Kosei General Hospital |
| Author | Atsusi Hirayama | Department of Gastroenterology, Sapporo Kosei General Hospital |
| Author | Keiya Okamura | Department of Gastroenterology, Sapporo Kosei General Hospital |
| [ Summary ] | We established two diagnostic standards for differential diagnosis between hyperplasia and adenomial carcinoma (I) and developmental diagnosis for carcinoma (II) in IPMT. We plan to observe the progress of IPMT using diagnostic standards (I) and (II) to determine correct surgery time. Changes of thickness and mosaic patterns of cyst walls are very important signs when we suspect invasive carcinoma of the IPMT type. A type of IPMT rapidly advances and changes into an invasive tumor. Therefore, we should carefully follow up on IPMT every six months for two years. | |