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

Non-inflammatory cystic lesions of the pancreas are increasingly recognized. Two distinct entities have been defined, i.e., intraductal papillary mucinous neoplasm (IPMN) and mucinous cystic neoplasm (MCN). Ovarian-type stroma has been proposed as a requisite to distinguish MCN from IPMN. Some other distinct features to characterize IPMN and MCN have been identified, but there remain ambiguities between the two diseases. In view of the increasing frequency with which these neoplasms are being diagnosed worldwide, it would be helpful for physicians managing patients with cystic neoplasms of the pancreas to have guidelines for the diagnosis and treatment of IPMN and MCN. The proposed guidelines represent a consensus of the working group of the International Association of Pancreatology. Copyright (C) 2006 S. Karger AG, Basel and IAP.

胰腺的非炎性囊性病变日益受到关注。已明确两种不同的疾病实体，即导管内乳头状黏液性肿瘤（IPMN）和黏液性囊性肿瘤（MCN）。卵巢型间质被认为是区分MCN和IPMN的必要条件。已经确定了一些其他区分IPMN和MCN的特征，但这两种疾病之间仍存在模糊之处。鉴于全世界诊断出这些肿瘤的频率不断增加，对于治疗胰腺囊性肿瘤患者的医生来说，拥有IPMN和MCN的诊断和治疗指南将是有帮助的。所提出的指南代表了国际胰腺病学协会工作组的共识。版权所有 (C) 2006 S. Karger AG，巴塞尔和IAP。