Journal ArticleDOI
Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas.
Masao Tanaka,Carlos Fernandez-del Castillo,Terumi Kamisawa,Jin-Young Jang,Philippe Lévy,Takao Ohtsuka,Roberto Salvia,Yasuhiro Shimizu,Minoru Tada,Christopher L. Wolfgang +9 more
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TLDR
The working group has revised the guidelines regarding prediction of invasive carcinoma and high-grade dysplasia, surveillance, and postoperative follow-up of IPMN and includes updated information and recommendations based on the current understanding.About:
This article is published in Pancreatology.The article was published on 2017-09-01. It has received 1104 citations till now.read more
Citations
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Clinical impact of endoscopic ultrasound-guided through-the-needle microbiopsy in patients with pancreatic cysts.
Bojan Kovacevic,Pia Klausen,Charlotte Vestrup Rift,Anders Toxværd,Hanne Sønder Grossjohann,John Gásdal Karstensen,John Gásdal Karstensen,L Brink,Hazem Hassan,Evangelos Kalaitzakis,Jan H Storkholm,Carsten Palnæs Hansen,Jane Preuss Hasselby,Peter Vilmann,Peter Vilmann +14 more
TL;DR: TTNBs resulted in a change in clinical management in about one in every 10 patients; however, the associated adverse event risk was substantial, and further studies are warranted to elucidate in which subgroups of patients the clinical benefit outweighs the risks.
Journal ArticleDOI
Timeline of Development of Pancreatic Cancer and Implications for Successful Early Detection in High-Risk Individuals
TL;DR: In this paper , the authors investigated the progression to neoplasia from serial prediagnostic pancreatic imaging tests in high-risk individuals and identify factors associated with successful early detection.
Journal ArticleDOI
Preoperative risk prediction for intraductal papillary mucinous neoplasms by quantitative CT image analysis
Marc A. Attiyeh,Jayasree Chakraborty,Lior Gazit,Liana Langdon-Embry,Mithat Gonen,Vinod P. Balachandran,Michael I. D’Angelica,Ronald P. DeMatteo,William R. Jarnagin,T. Peter Kingham,Peter J. Allen,Richard K. G. Do,Amber L. Simpson +12 more
TL;DR: Quantitative image analysis of BD-IPMNs is a novel method that may enable risk stratification and external validation may provide a reliable non-invasive prognostic tool for clinicians.
Journal ArticleDOI
Surgical overtreatment of pancreatic intraductal papillary mucinous neoplasms: Do the 2017 International Consensus Guidelines improve clinical decision making?
Jeremy Sharib,Annabelle L. Fonseca,Douglas S. Swords,Katrin Jaradeh,Paige M. Bracci,Matthew A. Firpo,Stacy Hatcher,Courtney L. Scaife,Huamin Wang,Grace E. Kim,Sean J. Mulvihill,Anirban Maitra,Eugene J. Koay,Kimberly S. Kirkwood +13 more
TL;DR: Improved tools for disease classification as well as a better understanding of the natural history, biology, and rates of progression of intraductal papillary mucinous neoplasms are needed to avoid surgical overtreatment of low‐grade intraductive dysplasia and to avoid unnecessary pancreatic resections.
Journal ArticleDOI
Multiregion whole-exome sequencing of intraductal papillary mucinous neoplasms reveals frequent somatic KLF4 mutations predominantly in low-grade regions.
Kohei Fujikura,Waki Hosoda,Matthäus Felsenstein,Qianqian Song,Johannes G. Reiter,Lily Zheng,Violeta Beleva Guthrie,Natalia Rincon,Marco Dal Molin,Jonathan C. Dudley,Joshua D. Cohen,Pei Wang,Catherine G Fischer,Alicia M. Braxton,Michaël Noë,Martine Jongepier,Carlos Fernandez-del Castillo,Mari Mino-Kenudson,C. Max Schmidt,Michele T. Yip-Schneider,Rita T. Lawlor,Roberto Salvia,Nicholas J. Roberts,Elizabeth D. Thompson,Rachel Karchin,Anne Marie Lennon,Yuchen Jiao,Laura D. Wood +27 more
TL;DR: The authors' multiregion whole exome sequencing identified KLF4, a previously unreported genetic driver of IPMN tumorigenesis, with hotspot mutations in one of two codons identified in >50% of the analyzed IPMNs.
References
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Journal ArticleDOI
International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas
Masao Tanaka,Carlos Fernandez-del Castillo,Volkan Adsay,Suresh T. Chari,Massimo Falconi,Jin-Young Jang,Wataru Kimura,Philippe Lévy,Martha B. Pitman,C. Max Schmidt,Michio Shimizu,Christopher L. Wolfgang,Koji Yamaguchi,Kenji Yamao +13 more
TL;DR: The present guidelines include recent information and recommendations based on the current understanding, and highlight issues that remain controversial and areas where further research is required.
Journal ArticleDOI
International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas.
Masao Tanaka,Suresh T. Chari,Volkan Adsay,Carlos Fernandez-del Castillo,Massimo Falconi,Michio Shimizu,Koji Yamaguchi,Kenji Yamao,Seiki Matsuno +8 more
TL;DR: Ovarian-type stroma has been proposed as a requisite to distinguish MCN from IPMN, and some other distinct features to characterize IPMN and MCN have been identified, but there remain ambiguities between the two diseases.
Journal ArticleDOI
Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study.
William R. Brugge,Kent B. Lewandrowski,Elizabeth Lee-Lewandrowski,Barbara A. Centeno,Tara E. Szydlo,Susan Regan,Carlos Fernandez-del Castillo,Andrew L. Warshaw +7 more
TL;DR: Of tested markers, cyst fluid CEA is the most accurate test available for the diagnosis of mucinous cystic lesions of the pancreas.
Journal ArticleDOI
An illustrated consensus on the classification of pancreatic intraepithelial neoplasia and intraductal papillary mucinous neoplasms
Ralph H. Hruban,Kyoichi Takaori,David S. Klimstra,N. Volkan Adsay,Jorge Albores-Saavedra,Andrew V. Biankin,Sandra A. Biankin,Carolyn C. Compton,Noriyoshi Fukushima,Toru Furukawa,Michael Goggins,Yo Kato,Günter Klöppel,Daniel S. Longnecker,Jutta Lüttges,Anirban Maitra,G. Johan A. Offerhaus,Michio Shimizu,Suguru Yonezawa +18 more
TL;DR: The purpose of this meeting was to define an international acceptable set of diagnostic criteria for PanINs and IPMNs and to address a number of ambiguities that exist in the previously reported classification systems for these neoplasms.
Journal ArticleDOI
Increased Risk of Cancer in the Peutz–Jeghers Syndrome
Francis M. Giardiello,Steven B. Welsh,Stanley R. Hamilton,G. J. A. Offerhaus,A. M. Gittelsohn,Susan V. Booker,Anne J. Krush,John H. Yardley,Gordon D. Luk +8 more
TL;DR: It is suggested that patients with the Peutz-Jeghers syndrome have an increased risk for the development of cancer at gastrointestinal and nongastrointestinal sites.
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