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Journal ArticleDOI

Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas.

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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.
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This article is published in Pancreatology.The article was published on 2017-09-01. It has received 1104 citations till now.

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Journal ArticleDOI

Efficacy and Safety of Pancreatic Juice Cytology with Synthetic Secretin in Diagnosing Malignant Intraductal Papillary Mucinous Neoplasms of the Pancreas

TL;DR: Synthetic secretin-loaded PJC improved the diagnostic performance of cytology for malignant IPMN and is recommended for the preoperative pathological diagnosis of malignant MMRN in clinical settings.
Journal ArticleDOI

Evaluating the accuracy of three international guidelines in identifying the risk of malignancy in pancreatic cysts: a retrospective analysis of a surgical treated population.

TL;DR: This retrospective analysis found that the European EBG had the lowest rate of missed malignancy at the expense of a high number of "unnecessary" resections and the Fukuoka ICG had the highest number of missedmalignancy.
Journal ArticleDOI

To resect or not to resect: a review of pancreatic cyst disease management.

TL;DR: Pancreatic cystic disease should be approached in thoughtful clinical manner, and each cyst should be evaluated in the context of patient's health and healthcare goals, and all cysts, however, should be considered malignant until proven otherwise.
Journal ArticleDOI

Factors associated with misdiagnosis of preoperative endoscopic ultrasound in patients with pancreatic cystic neoplasms undergoing surgical resection

TL;DR: For cases in which MCN and cystic degeneration of solid tumor are presumed based on preoperative EUS imaging and cases with PCLs with a honeycomb-like structure, diagnosis with multimodalities or fluid analysis with EUS-guided fine-needle aspiration should be considered.
References
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Journal ArticleDOI

International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas.

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.

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

Increased Risk of Cancer in the Peutz–Jeghers Syndrome

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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