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관내 유두상 점액성 종양의 병리학적 고찰 KCI 등재 SCOPUS

Pathologic View of Intraductal Papillary Mucinous Neoplasm

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대한췌담도학회지 (Korean Journal of Pancreas and Biliary Tract)
대한췌장담도학회(구 대한췌담도학회) (Korea PancreatoBiliary Association)
초록

Among pancreatic cystic lesions, mucinous cystic neoplasm (MCN) and intraductal papillary mucinous neoplasm (IPMN) of the pancreas are precursor lesions of pancreatic adenocarcinoma. IPMN is characterized by intraductal papillary proliferation of mucin-producing epithelial cells that exhibit various degrees of dysplasia. IPMN is classified as the main duct type (MD-IPMN), mixed type and the branch duct type (BD-IPMN) according to the location of involvement, and into four histological subtypes (gastric, intestinal, pancreatobiliary, and oncocytic) according to the histomorphological and immunohistochemical characteristics. Most patients with MD-IPMN undergo tumor resection due to moderate to high risk of malignancy. Patients with BD-IPMN who do not undergo resection may develop malignant change, and concomitant separate pancreatic cancer occurs in 2-10% of patients with IPMN. Patients with BD-IPMN who do not undergo resection should do careful surveillance including endoscopic ultrasound sonography for the early detection of malignant change and separate pancreatic cancer.

목차
서 론
본 론
    1. IPMN의 특징
    2. IPMN의 분류와 진단
    3. 관내 유두상 점액성 종양의 치료와 예후
결 론
요 약
ORCID
REFERENCES
저자
  • 강유나(경북대학교 의과대학 법의학교실, 경북대학교병원 병리과) | Yoo Na Kang (Department of Forensic Medicine, Kyungpook National University School of Medicine, Department of Pathology, Kyungpook National University Hospital) Corresponding author