Evidence map›Paper›PMID 41778248›Full record

ArticleCancer diagnosis & prognosis

Postoperative Outcomes and Strategic Refinement in Intraductal Papillary Mucinous Neoplasm Management: A Single Academic Cancer Center Experience.

Atsushi Nanashima, Naoya Imamura, Masahide Hiyoshi, Yuki Tsuchimochi, Takashi Wada, Takeomi Hamada, Yasuyuki Suzuki, Yuusuke Araki, Ayumu Hosokawa, Hiroshi Kawakami

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Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Atsushi NanashimaDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Naoya ImamuraDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Masahide HiyoshiDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Yuki TsuchimochiDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Takashi WadaDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Takeomi HamadaDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Yasuyuki SuzukiDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Yuusuke ArakiDivision of Hepato-biliary-pancreas Surgery, Department of Surgery.
Ayumu HosokawaDepartment of Clinical Oncology, and 3Division of Gastroenterology and Hepatology.
Hiroshi KawakamiDepartment of Internal Medicine, University of Miyazaki Faculty of Medicine, Miyazaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is a precursor lesion with variable malignant potential. Due to its heterogeneity, optimal treatment strategies remain controversial, especially regarding surgical resection and surveillance indications. We reviewed our institutional outcomes to reassess the current postoperative strategy and refine management guidelines. Patients and Methods: This study retrospectively and consecutively analyzed the data of 49 IPMN patients who underwent pancreatectomy at an academic institution from 2015 to May 2025. Results: Diagnostic mismatch between preoperative and final pathological findings was observed in 39% of cases, with overdiagnosis (downgrade group) being more common than underdiagnosis. Overdiagnosed cases were significantly associated with main pancreatic duct dilation (>5 mm) ( Conclusion: Preoperative diagnostic inaccuracies remain common in IPMN, and invasive transformation, elevated CA19-9, lymph node metastasis, and tumor stage are key prognostic factors. A multimodal diagnostic approach is needed to improve risk stratification and guide appropriate surgical management.

Indexed as

Intraductal papillary mucinous neoplasm (IPMN)malignant potentialpancreatectomypostoperative outcomessurveillance strategy

Identifiers

PMID41778248
PMCPMC12951388

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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.