Intraductal papillary mucinous neoplasms (IPMNs) represent an opportunity to treat pancreatic tumors before they develop into aggressive, hard-to-treat cancers. Beginning with morphological classification and its clinical significance, natural history, and malignant change of both main duct and branch duct IPMNs, this book covers the whole field of IPMNs of the pancreas. It reviews the various methods of investigation: imaging, diagnostic investigation of cyst fluid, and those using pancreatic juice; and also examines aspects ranging from the development of malignancy to the timing and method of resection, focusing on both main duct and branch duct IPMNs.
Aimed at residents, clinical fellows, and pancreatologists who treat patients with this common disease of the pancreas, this book is a landmark in the current understanding and future perspectives of IPMNs of the pancreas.
PART I Pathophysiology.-
Chapter 1 Macroscopic morphological classification and its significance.-
Chapter 2 Natural history and malignant change of main duct IPMN .-
Chapter 3 Natural history and malignant change of branch duct IPMN .-
Chapter 4 Histological subclassification and its clinical significance.-
PART II Investigation.-
Chapter 5 CT and MRI/MRCP.-
Chapter 6 Endosonography.-
Chapter 7 Diagnostic Investigation of Pancreatic Cyst Fluid.-
Chapter 8 Diagnostic investigation using pancreatic juice.-
PART III Development of malignancy.-
Chapter 9 Development of pancreatic carcinoma in IPMN patients.-
Chapter 10 Development of extrapancreatic malignancy.-
Chapter 11 Surveillance of branch duct IPMN- Methods and frequency.-
PART IV Management.-
Chapter 12 Timing of resection of main duct IPMN.-
Chapter 13 Method of resection of branch duct IPMN.-
Chapter 14 Timing of resection of branch duct IPMN.-
Chapter 15 Postoperative surveillance of main duct IPMN.-
Chapter 16 Postoperative surveillance of branch duct IPMN.