Article ; Online: Intraductal papillary mucinous neoplasm: clinical surveillance and management decisions.
Seminars in radiation oncology
2014 Volume 24, Issue 2, Page(s) 77–84
Abstract: Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is a relatively rare cystic neoplasm. Although most IPMNs appear to be benign and may be managed by surveillance, all IPMNs are considered premalignant lesions with malignant potential. As ... ...
Abstract | Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is a relatively rare cystic neoplasm. Although most IPMNs appear to be benign and may be managed by surveillance, all IPMNs are considered premalignant lesions with malignant potential. As such, current efforts are focused on identifying those neoplasms that are at high risk for malignancy to optimize treatment strategy and outcome. IPMNs with invasive carcinoma have clinical outcomes that approach those of conventional pancreatic ductal adenocarcinoma. Management guidelines recommend surgical resection for IPMNs with high-risk imaging or cytologic features. The role of adjuvant therapy is unclear, and we review the evidence for chemoradiation here. Some studies suggest adjuvant chemoradiation may have the greatest impact in malignant IPMNs with adverse histologic features, that is, lymph node metastasis at the time of diagnosis or positive surgical margins. As more IPMNs are recognized and treated, more evidence will accumulate to guide clinicians regarding appropriate use of radiotherapy in the management of IPMN. |
---|---|
MeSH term(s) | Adenocarcinoma, Mucinous/diagnosis ; Adenocarcinoma, Mucinous/radiotherapy ; Adenocarcinoma, Mucinous/surgery ; Carcinoma, Pancreatic Ductal/diagnosis ; Carcinoma, Pancreatic Ductal/radiotherapy ; Carcinoma, Pancreatic Ductal/surgery ; Carcinoma, Papillary/diagnosis ; Carcinoma, Papillary/radiotherapy ; Carcinoma, Papillary/surgery ; Humans ; Pancreatic Neoplasms/diagnosis ; Pancreatic Neoplasms/radiotherapy ; Pancreatic Neoplasms/surgery ; Prognosis ; Radiotherapy, Adjuvant |
Language | English |
Publishing date | 2014-04 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 1146999-7 |
ISSN | 1532-9461 ; 1053-4296 |
ISSN (online) | 1532-9461 |
ISSN | 1053-4296 |
DOI | 10.1016/j.semradonc.2013.11.005 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 3654: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.