Email this article Diagnostics and treatment of intraductal papillary mucinous pancreas neoplasm
- Authors: Khatkov I.E.1, Poroshina E.G.2, Solovyeva O.I.2, Tokareva T.P.2, Vorobyev S.L.3, Bakulina N.V.2
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Affiliations:
- Loginov Moscow Clinical Scientific Center
- Mechnikov North-Western State Medical University
- National Center for Clinical Morphological Diagnostics
- Issue: Vol 95, No 8 (2023)
- Pages: 686-691
- Section: Clinical notes
- URL: https://journals.rcsi.science/0040-3660/article/view/148317
- DOI: https://doi.org/10.26442/00403660.2023.08.202340
- ID: 148317
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Abstract
A clinical case of a 71-year-old patient with intraductal papillary mucinous neoplasia (IPMN) is presented. The diagnosis was established using endoscopic retrograde cholangiopancreatography, magnetic resonance imaging, computed tomography. Asymptomatic course, absence of pain syndrome, obstruction, exocrine and endocrine pancreatic failure, relatively satisfactory general health, but the presence of structural changes: an increase cyst in the head of the pancreas measuring 27×23 mm, expansion of the main pancreatic duct up to 13 mm raised doubts about the choice of treatment tactics, the need for surgical intervention. To exclude the risk of malignancy and the choice of treatment tactics, a fine-needle aspiration biopsy was performed, a cytological examination of the material, an expert opinion determined the scope of the surgical intervention. IPMN is a rather rare tumor of the pancreas. For a long time, IPMN flow “under the guise” of chronic pancreatitis. Depending on the type of degree of dysplasia and invasiveness of IPMN, the tactics of treatment and the volume of surgical intervention are determined. High-tech methods provide high information content in the diagnosis of IPMN. But only a morphological study allows you to determine the tactics of treatment.
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##article.viewOnOriginalSite##About the authors
Igor E. Khatkov
Loginov Moscow Clinical Scientific Center
Email: o_solovjova@inbox.ru
ORCID iD: 0000-0002-4088-8118
канд. мед. наук, доц., доц. каф. внутренних болезней, клинической фармакологии и нефрологии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»
Russian Federation, MoscowElena G. Poroshina
Mechnikov North-Western State Medical University
Email: o_solovjova@inbox.ru
ORCID iD: 0009-0003-1649-309X
канд. мед. наук, доц., доц. каф. внутренних болезней, клинической фармакологии и нефрологии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»
Russian Federation, Saint PetersburgOlga I. Solovyeva
Mechnikov North-Western State Medical University
Author for correspondence.
Email: o_solovjova@inbox.ru
ORCID iD: 0000-0003-0037-7855
канд. мед. наук, доц., доц. каф. внутренних болезней, клинической фармакологии и нефрологии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»
Russian Federation, Saint PetersburgTatyana P. Tokareva
Mechnikov North-Western State Medical University
Email: o_solovjova@inbox.ru
ORCID iD: 0009-0009-4408-2312
зав. отд-нием эндокринологии и нефрологии Клиники им. Петра Великого ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»
Russian Federation, Saint PetersburgSergey L. Vorobyev
National Center for Clinical Morphological Diagnostics
Email: o_solovjova@inbox.ru
ORCID iD: 0000-0002-7817-9069
канд. мед. наук, дир. ООО «Национальный центр клинической морфологической диагностики»
Russian Federation, Saint PetersburgNatalia V. Bakulina
Mechnikov North-Western State Medical University
Email: o_solovjova@inbox.ru
ORCID iD: 0000-0003-4075-4096
д-р мед. наук, проф., зав. каф. внутренних болезней, клинической фармакологии и нефрологии, проректор по науке и инновационной деятельности ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»
Russian Federation, Saint PetersburgReferences
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