Management of branch duct-type intraductal papillary mucinous tumor of the pancreas based on magnetic resonance imaging |
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Authors: | Sai J K Suyama M Kubokawa Y Yamanaka K Tadokoro H Iida Y Sato N Suda K Nobukawa B Maehara T |
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Institution: | (1) Department of Gastroenterology, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan;(2) Department of Pathology, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan;(3) Department of Radiology, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan |
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Abstract: | Background: We assessed the usefulness of magnetic resonance imaging (MRI) in identifying nonmalignant intraductal papillary mucinous tumors (IPMTs) of the pancreas.Methods: Thirty-three patients with branch duct-type IPMT diagnosed by endoscopic retrograde cholangiopancreatography were prospectively examined with magnetic resonance cholangiopancreatography followed by dynamic gadolinium-enhanced MRI examinations, and patients with no findings suggestive of malignancy, including a solid mass, mural nodules, a main pancreatic duct wider than 5 mm in diameter, and stenosis of the main pancreatic duct, were prospectively followed up with sequential MRI examinations once or twice a year.Results: Twenty-six (79%) patients showed no findings suggestive of malignancy in the initial MRI examination. The diameter (mean ± standard error) of the main pancreatic duct was 3.9 ± 0.7 mm and that of the ectatic branch pancreatic duct was 36.0 ± 9.1 mm. Twenty-three patients were prospectively followed for more than 36 months and 22 of them showed no findings suggestive of malignancy during follow-up periods ranging from 39 to 77 months (mean = 55 months).Conclusion: MRI was useful to identify nonmalignant IPMTs of the branch duct type, and close follow-up observation with serial MRI examinations may be appropriate in the management of such patients. |
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Keywords: | Magnetic resonance cholangiopancreatography Magnetic resonance imaging Intraductal papillary mucinous tumor Branch duct type Follow-up |
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