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Intraductal Papillary Mucinous Neoplasm (IPMN)
Fauzia Vandermeer, MD; Adnaan Moin, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Intraductal papillary mucinous neoplasm (IPMN)
            • Synonyms

              • Intraductal papillary mucinous tumor, duct ectatic mucinous cystadenoma, mucinous hypersecretory neoplasm, mucin-producing tumor
            • Definitions

              • Cystic neoplasm of pancreas arising from mucin-producing epithelium of main pancreatic duct (MPD) &/or side branch pancreatic ducts (SBD) with variable malignant potential

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Other Modality Findings

                  • Radiographic Findings

                    • CT Findings

                      • MR Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Image Interpretation Pearls

                                              • Reporting Tips

                                                Selected References

                                                1. Branchi V et al: Extensive multifocal branch duct IPMN of the pancreas after liver transplantation: is surgery justified? Eur J Med Res. 20(1):26, 2015
                                                2. Efthymiou A et al: Endoscopic ultrasound in the diagnosis of pancreatic intraductal papillary mucinous neoplasms. World J Gastroenterol. 20(24):7785-93, 2014
                                                3. Freeny PC et al: Moving beyond morphology: new insights into the characterization and management of cystic pancreatic lesions. Radiology. 272(2):345-63, 2014
                                                4. Goh BK et al: Are the Sendai and Fukuoka consensus guidelines for cystic mucinous neoplasms of the pancreas useful in the initial triage of all suspected pancreatic cystic neoplasms? A single-institution experience with 317 surgically-treated patients. Ann Surg Oncol. 21(6):1919-26, 2014
                                                5. Khashab MA et al: Should we do EUS/FNA on patients with pancreatic cysts? The incremental diagnostic yield of EUS over CT/MRI for prediction of cystic neoplasms. Pancreas. 42(4):717-21, 2013
                                                6. Kim JH et al: Intraductal papillary mucinous neoplasms with associated invasive carcinoma of the pancreas: imaging findings and diagnostic performance of MDCT for prediction of prognostic factors. AJR Am J Roentgenol. 201(3):565-72, 2013
                                                7. Kucera JN et al: Cystic lesions of the pancreas: radiologic-endosonographic correlation. Radiographics. 32(7):E283-301, 2012
                                                8. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                                9. Gore RM et al: The incidental cystic pancreas mass: a practical approach. Cancer Imaging. 12:414-21, 2012
                                                10. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                                11. Xiao SY: Intraductal papillary mucinous neoplasm of the pancreas: an update. Scientifica (Cairo). 2012:893632, 2012
                                                12. Pedrosa I et al: Imaging considerations in intraductal papillary mucinous neoplasms of the pancreas. World J Gastrointest Surg. 2(10):324-30, 2010
                                                13. Reid-Lombardo KM et al: Frequency of extrapancreatic neoplasms in intraductal papillary mucinous neoplasm of the pancreas: implications for management. Ann Surg. 251(1):64-9, 2010
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Intraductal papillary mucinous neoplasm (IPMN)
                                                          • Synonyms

                                                            • Intraductal papillary mucinous tumor, duct ectatic mucinous cystadenoma, mucinous hypersecretory neoplasm, mucin-producing tumor
                                                          • Definitions

                                                            • Cystic neoplasm of pancreas arising from mucin-producing epithelium of main pancreatic duct (MPD) &/or side branch pancreatic ducts (SBD) with variable malignant potential

                                                          IMAGING

                                                          • General Features

                                                            • Ultrasonographic Findings

                                                              • Other Modality Findings

                                                                • Radiographic Findings

                                                                  • CT Findings

                                                                    • MR Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Staging, Grading, & Classification

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Image Interpretation Pearls

                                                                                            • Reporting Tips

                                                                                              Selected References

                                                                                              1. Branchi V et al: Extensive multifocal branch duct IPMN of the pancreas after liver transplantation: is surgery justified? Eur J Med Res. 20(1):26, 2015
                                                                                              2. Efthymiou A et al: Endoscopic ultrasound in the diagnosis of pancreatic intraductal papillary mucinous neoplasms. World J Gastroenterol. 20(24):7785-93, 2014
                                                                                              3. Freeny PC et al: Moving beyond morphology: new insights into the characterization and management of cystic pancreatic lesions. Radiology. 272(2):345-63, 2014
                                                                                              4. Goh BK et al: Are the Sendai and Fukuoka consensus guidelines for cystic mucinous neoplasms of the pancreas useful in the initial triage of all suspected pancreatic cystic neoplasms? A single-institution experience with 317 surgically-treated patients. Ann Surg Oncol. 21(6):1919-26, 2014
                                                                                              5. Khashab MA et al: Should we do EUS/FNA on patients with pancreatic cysts? The incremental diagnostic yield of EUS over CT/MRI for prediction of cystic neoplasms. Pancreas. 42(4):717-21, 2013
                                                                                              6. Kim JH et al: Intraductal papillary mucinous neoplasms with associated invasive carcinoma of the pancreas: imaging findings and diagnostic performance of MDCT for prediction of prognostic factors. AJR Am J Roentgenol. 201(3):565-72, 2013
                                                                                              7. Kucera JN et al: Cystic lesions of the pancreas: radiologic-endosonographic correlation. Radiographics. 32(7):E283-301, 2012
                                                                                              8. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                                                                              9. Gore RM et al: The incidental cystic pancreas mass: a practical approach. Cancer Imaging. 12:414-21, 2012
                                                                                              10. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                                                                              11. Xiao SY: Intraductal papillary mucinous neoplasm of the pancreas: an update. Scientifica (Cairo). 2012:893632, 2012
                                                                                              12. Pedrosa I et al: Imaging considerations in intraductal papillary mucinous neoplasms of the pancreas. World J Gastrointest Surg. 2(10):324-30, 2010
                                                                                              13. Reid-Lombardo KM et al: Frequency of extrapancreatic neoplasms in intraductal papillary mucinous neoplasm of the pancreas: implications for management. Ann Surg. 251(1):64-9, 2010