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导管内乳头状黏液性肿瘤

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导管内乳头状黏液性肿瘤
又称IPMN
导管内乳头状黏液性肿瘤的磁共振成像
症状通常无症状
起病年龄50-70岁
类型主胰管型、分支胰管型或混合型
风险因素男性
鉴别诊断黏液性囊性肿瘤
治疗影像监视、
手术切除
分类和外部资源
医学专科胃肠科
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导管内乳头状黏液性肿瘤(intraductal papillary mucinous neoplasm, IPMN)是一种在导管内生长,以黏液高分泌性为特征的乳头状肿瘤,属于癌前病变,易恶变。多数发生于主胰管或其主要分支(IPMN-P)[1],少数源于胆管上皮(IPMN-B)[2]

胰腺的IPMN会产生黏液[3],这种黏液会形成胰腺囊肿英语Pancreatic cyst[4]。虽然IPMN是一种良性肿瘤,但IPMN有可能发展为胰腺癌。因此,IPMN被视为一种癌前状态,处置或者追踪可以依循福冈指引英语Precancerous condition[5]

参考资料

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  1. ^ Fong ZV, Fernández-Del Castillo C. Intraductal Papillary Mucinous Neoplasm of the Pancreas. Surg Clin North Am. 2016;96(6):1431-1445. doi:10.1016/j.suc.2016.07.009
  2. ^ He MN, Zhang J, Zhang Q, Lv K, Jiang YX. Research Advances in Clinical and Imaging Characteristics of Intraductal Papillary Mucinous Neoplasm of the Bile Duct. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2017;39(3):451-455. doi:10.3881/j.issn.1000-503X.2017.03.026
  3. ^ Intraductal Papillary Mucinous Neoplasms of the Pancreas. Johns Hopkins University. [7 September 2009]. (原始内容存档于2021-02-04). 
  4. ^ Campbell, NM; Katz, SS; Escalon, JG; Do, RK. Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the Management of IPMN. Abdominal Imaging. March 2015, 40 (3): 663–77. PMID 25219664. doi:10.1007/s00261-014-0236-4. 
  5. ^ Precancerous conditions of the pancreas - Canadian Cancer Society. www.cancer.ca. [5 November 2017]. (原始内容存档于2021-02-14) (英语). 

外部链接

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