title: What to do with an intraductal papilary mucinous pancreatic neoplasm? Our experience.
abstract: BACKGROUND
  Cystic pancreatic neoplasms are a heterogeneous group of pathology, and intraductal papillary mucinous neoplasia is becoming more common. The aim of this study is to review our series of cystic pancreatic neoplasms that underwent surgery and to evaluate the similarities with Fukuoka recommendations.
  
  
  METHODS
  Retrospective review of our experience analyzing clinical and radiological data, indication for surgery and pathology study of 11 patients operated on in our centre from july 2011 to july 2015, aiming to evaluate the degree of agreement with the current consensus.
  
  
  RESULTS
  In our series the majority of cases (7/11) had symptoms at diagnosis. Preoperative diagnosis was achieved in 10 patients using radiology and/or endoscopy. Indications for surgery were the presence of symptoms, radiological data suspicious of malignancy, and secondary branch neoplasia over 30mm. Pathological findings were malignancy in 6/11 cases (2 invasive neoplasia, 4 high grade dysplasia), moderate dysplasia in 2/11, low-grade dysplasia in 2/11 and no dysplasia in one patient.
  
  
  CONCLUSIONS
  Surgical indication of intraductal mucinous pancreatic neoplasms depends on the associated symptoms, size, location, risk and suspicion of malignancy.
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España. Electronic address: alba_manuel_vazquez@hotmail.com.
authors.forename: Alba
authors.initials: A
authors.lastname: Manuel Vázquez
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Alberto
authors.initials: A
authors.lastname: Carabias Hernández
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Teresa
authors.initials: T
authors.lastname: Carrascosa Mirón
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Ainhoa
authors.initials: A
authors.lastname: Valle Rubio
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Mínguez García
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Paloma
authors.initials: P
authors.lastname: Sanz Muñoz
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Serantes Gómez
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Getafe, Madrid, España.
authors.forename: José María
authors.initials: JM
authors.lastname: Jover Navalón
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000601:surgery*; D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
keywords: Factores pronósticos; Intraductal papillary mucinous neoplasm; Management; Manejo; Neoplasia mucinosa papilar intraductal; Neoplasia pancreática; Neoplasia quística pancreática; Pancreatic cystic neoplasia; Pancreatic neoplasms; Prognostic factors