title: [Medical management of intraductal papillary mucinous neoplasm].
abstract: Intraductal papillary mucinous neoplasm (IPMN) is frequently found recently and is a precancerous lesion. Main duct-type should be resected since it can easily progress to invasive IPMN, whereas branch duct-type (BD) usually remains silent without malignant transformation. BD-IPMN should be resected if it has mural nodule, thick wall or septum, or solid component which are the obvious risk factors for malignancy. If the cyst size of BD-IPMN is more than 3 cm in diameter without obvious risk factors, it can be followed-up regularly or can be treated either with surgical resection or endoscopic ultrasonography (EUS)-guided ethanol lavage. Small BD-IPMN less than 3 cm in size without risk factors can be followed up with sonography, CT scan or EUS annually.
authors.affiliation: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. yongtkim@snu.ac.kr
authors.forename: Yong Tae
authors.initials: YT
authors.lastname: Kim
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D003937:Diagnosis, Differential; D000431:Ethanol / Q000627:therapeutic use; D006801:Humans; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D000431:Ethanol