International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas

被引:1686
作者
Tanaka, Masao [1 ]
Fernandez-del Castillo, Carlos [2 ]
Adsay, Volkan [3 ]
Chari, Suresh [4 ]
Falconi, Massimo [5 ]
Jang, Jin-Young [6 ]
Kimura, Wataru [7 ]
Levy, Philippe [8 ]
Pitman, Martha Bishop [9 ]
Schmidt, C. Max [10 ]
Shimizu, Michio [11 ]
Wolfgang, Christopher L. [12 ,13 ]
Yamaguchi, Koji [14 ]
Yamao, Kenji
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Oncol, Fukuoka 8128582, Japan
[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Pancreas & Biliary Surg Program, Boston, MA USA
[3] Emory Univ Hosp, Dept Anat Pathol, Atlanta, GA 30322 USA
[4] Mayo Clin, Div Gastroenterol & Hepatol, Pancreas Interest Grp, Rochester, MN USA
[5] Policlin GB Rossi, Dipartimento Chirurg, UO Chirurg B, Verona, Italy
[6] Seoul Natl Univ, Coll Med, Dept Surg, Div Hepatobiliary Pancreat Surg, Seoul, South Korea
[7] Yamagata Univ, Dept Surg 1, Yamagata 990, Japan
[8] Hop Beaujon, Serv Gastroenterol Pancreatol, Clichy, France
[9] Harvard Univ, Sch Med, Dept Pathol, Massachusetts Gen Hosp, Boston, MA 02115 USA
[10] Indiana Univ, Dept Surg, Indianapolis, IN 46204 USA
[11] Saitama Med Univ, Int Med Ctr, Dept Pathol, Saitama, Japan
[12] Johns Hopkins Univ, Dept Surg, Sol Goldman Pancreat Canc Res Ctr, Baltimore, MD USA
[13] Johns Hopkins Univ, Cameron Div Surg Oncol, Baltimore, MD USA
[14] Univ Occupat & Environm Hlth, Dept Surg 1, Fukuoka, Japan
关键词
International guidelines; Intraductal papillary mucinous neoplasm; Mucinous cystic neoplasm; PAPILLARY-MUCINOUS NEOPLASMS; FINE-NEEDLE-ASPIRATION; TERM-FOLLOW-UP; FLUID CARCINOEMBRYONIC ANTIGEN; INTRADUCTAL-PAPILLARY; BRANCH-DUCT; CLINICOPATHOLOGICAL FEATURES; CYSTIC NEOPLASMS; DISTAL PANCREATECTOMY; SEROUS CYSTADENOMA;
D O I
10.1016/j.pan.2012.04.004
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The international consensus guidelines for management of intraductal papillary mucinous neoplasm and mucinous cystic neoplasm of the pancreas established in 2006 have increased awareness and improved the management of these entities. During the subsequent 5 years, a considerable amount of information has been added to the literature. Based on a consensus symposium held during the 14th meeting of the International Association of Pancreatology in Fukuoka, Japan, in 2010, the working group has generated new guidelines. Since the levels of evidence for all items addressed in these guidelines are low, being 4 or 5, we still have to designate them "consensus", rather than "evidence-based", guidelines. To simplify the entire guidelines, we have adopted a statement format that differs from the 2006 guidelines, although the headings are similar to the previous guidelines, i.e., classification, investigation, indications for and methods of resection and other treatments, histological aspects, and methods of follow-up. The present guidelines include recent information and recommendations based on our current understanding, and highlight issues that remain controversial and areas where further research is required. Copyright (C) 2012, IAP and EPC. Published by Elsevier India, a division of Reed Elsevier India Pvt, Ltd. All rights reserved.
引用
收藏
页码:183 / 197
页数:15
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