Evidence map›Paper›PMID 31147310›Full record

ArticleDiagnostic and interventional radiology (Ankara, Turkey)2019

Multimodality imaging studies of intraductal tubulopapillary neoplasms of the pancreas.

Hye Jin Kim, Mi-Suk Park, Taek Chung, Bohyun Kim, Jei Hee Lee, Jai Keun Kim

Abstract read
In one paragraph

Article in Diagnostic and interventional radiology (Ankara, Turkey), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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15citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Eggplant-like pancreas: transformation in a year.Hepatobiliary surgery and nutrition · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hye Jin KimDepartment of Radiology, Ajou University School of Medicine, Suwon, Korea; Department of Radiology and Research Institute of Radiological Science Severance Hospital, Yonsei University School of Medicine, Seoul, Korea.
Mi-Suk ParkDepartment of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University School of Medicine, Seoul, Korea.
Taek ChungDepartment of Pathology, Severance Hospital, Yonsei University School of Medicine, Seoul, Korea.
Bohyun KimDepartment of Radiology, Ajou University School of Medicine, Suwon, Korea.
Jei Hee LeeDepartment of Radiology, Ajou University School of Medicine, Suwon, Korea.
Jai Keun KimDepartment of Radiology, Ajou University School of Medicine, Suwon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to investigate multimodality imaging findings of intraductal tubulopapillary neoplasms (ITPN) of the pancreas.

methodsThis study was approved by the institutional review board with waived informed consent. A total of eight patients were histopathologically diagnosed with pancreatic ITPN in a single institution over a 6-year period. The imaging findings of dynamic contrast-enhanced computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), endoscopic ultrasonography (EUS), and positron emission tomography-computed tomography (PET-CT) were reviewed and correlated with clinicopathologic findings.

resultsHistopathologically, an invasive carcinoma component was found in 5 of 8 patients (62.5%). The median diameter of the lesions and the main pancreatic ducts were larger in ITPN with invasive carcinoma (19 mm, 13.3-98.0 mm and 13 mm, 5.9-16.3 mm, respectively) than in ITPN without invasive carcinoma (13 mm, 12.7-18.5 mm and 6 mm, 5.6-6.1 mm, respectively), but not significantly (lesions, P = 0.229 and main pancreatic ducts, P = 0.143). Pancreatolithiasis accompanied invasive carcinoma in 3 of 5 patients (60%). Intraductal solid tumors were demonstrated on CT (5/8, 62.5%), MRCP (5/7, 71.4%), and EUS (7/7, 100%). In addition, various imaging findings mimicking chronic autoimmune pancreatitis or pancreatic ductal adenocarcinoma were found in 3 patients (37.5%) on multimodality imaging. The lesion multiplicity and synchronous or metachronous biliary cancer occurred in 3 patients (37.5%), respectively.

conclusionPatients with associated invasive carcinoma from pancreatic ITPN may have presented a trend toward larger tumor size and dilated pancreatic duct with pancreatoliths, but the difference was not statistically significant. Further studies with a larger number of patients are needed to provide better insight into these findings. Pancreatic ITPN can show various atypical imaging findings as well as typical intraductal solid tumor on multimodality imaging. The presence of lesion multiplicity and synchronous or metachronous biliary cancer can be helpful for assisting with the diagnosis of pancreatic ITPN.

Indexed as

AdultAgedAutoimmune PancreatitisCarcinoma, Pancreatic DuctalCarcinoma, PapillaryCholangiopancreatography, Magnetic ResonanceEndosonographyFemaleHumansLithiasisMaleMiddle AgedMultimodal ImagingNeoplasm InvasivenessPancreasPositron Emission Tomography Computed Tomography

Identifiers

PMID31147310
PMCPMC6622442

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.