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Monday, December 24, 2012

Intraductal papillary mucinous neoplasm

Presentation - Older Male, PREMALIGNANT
QUESTION: Management of IPMNs?
ANSWER: Types (as determined radiographically) dictates treatment:
1. Main duct - high CA risk if main duct > 6mm, mucin on endoscopy, mural nodularity - resect all
2. Side branch - usually multifocal, lower malignancy risk
3. Mixed type (both main and side branch)
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