title: Total invasion of the pancreatic gland by a rare aggressive IPMN: Report of a case.
abstract: BACKGROUND
  The intraductal papillary mucinous neoplasms (IPMNs) are increasingly diagnosed entities with high potential of malignancy and significant recurrence rates.
  
  
  METHODS
  In this case report a rare mixed IPMN with full invasion of the pancreatic ducts was identified.
  
  
  CONCLUSIONS
  Difficulties in determining the grade of pancreatic duct involvement make the surgical management tough.
  
  
  CONCLUSIONS
  In multifocal IPMNs the management of the patients is even more challenging. In this case the patient was treated successfully with total pancreatectomy.
authors: 1st Surgical Department of General Hospital of Athens "G. Gennimatas", Athens, Greece; Alpha Institute of Biomedical Sciences (AIBS), Marousi, Greece; Department of Surgery and Cancer, St. Mary's Hospital, Imperial College of London, London, United Kingdom. Electronic address: m.makris@aibs.gr.
authors: Marinos C
authors: MC
authors: Makris
authors: Konstantinos C
authors: KC
authors: Koumarelas
authors: Apostolos S
authors: AS
authors: Mitrousias
authors: Christina N
authors: CN
authors: Karamveri
authors: Evripidis P
authors: EP
authors: Yettimis
authors: Adreas N
authors: AN
authors: Zevlas
keywords: Intraductal; Intraductal papillary mucinous neoplasms (IPMNs); Multifocal; Pancreatectomy
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