%0 Journal Article
%T Prognosis of cancer with branch duct type IPMN of the pancreas
%A Nobuhito Ikeuchi
%A Takao Itoi
%A Atsushi Sofuni
%A Fumihide Itokawa
%A Takayoshi Tsuchiya
%A Toshio Kurihara
%A Kentaro Ishii
%A Shujiro Tsuji
%A Junko Umeda
%A Fuminori Moriyasu
%A Akihiko Tsuchida
%A Kazuhiko Kasuya
%J World Journal of Gastroenterology
%D 2010
%I Baishideng Publishing Group Co. Limited
%X AIM: To examine the coexistence of metachronous and synchronous cancer in branch duct intraductal papillary mucinous neoplasms of the pancreas (IPMN).METHODS: We reviewed the records of 145 patients with branch duct IPMN between January 1991 and April 2008 and assessed the relationship between IPMN and intra- or extra-pancreatic carcinoma and the outcome of IPMN.RESULTS: The mean observation period was 55.9 ¡À 45.3 mo. Among the 145 patients, the frequency of extra-pancreatic cancer was 29.0%. The frequency of gastric cancer, colon cancer, breast cancer, and pancreatic cancer were 25.5%, 15.7%, 13.7%, and 9.8%, respectively. Twenty (13.8%) of the patients died. The cause of death was extra-pancreatic carcinoma in 40%, pancreatic cancer in 25%, IPMN per se in 20%, and benign disease in 15% of the patients.CONCLUSION: The prognosis for IPMN depends not on the IPMN per se, but on the presence of intra- or extra-pancreatic cancer.
%K Intraductal papillary mucinous neoplasms of the pancreas
%K Long-term follow-up
%K Extra-pancreatic cancer
%K Pancreatic cancer
%K Prognosis
%U http://www.wjgnet.com/1007-9327/full/v16/i15/1890.htm