Systematic review of challenging issues in pathology of intraductal papillary mucinous neoplasms

Laura D Wood*, N Volkan Adsay, Olca Basturk, Lodewijk A A Brosens, Noriyoshi Fukushima, Seung-Mo Hong, Sung-Joo Kim, Jae W Lee, Claudio Luchini, Michaël Noë, Martha B Pitman, Aldo Scarpa, Aatur D Singhi, Mariko Tanaka, Toru Furukawa

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Intraductal papillary mucinous neoplasms (IPMNs) are a cystic precursor to pancreatic cancer. IPMNs deemed clinically to be at high-risk for malignant progression are frequently treated with surgical resection, and pathological examination of the pancreatectomy specimen is a key component of the clinical care of IPMN patients.

METHODS: Systematic literature reviews were conducted around eight topics of clinical relevance in the examination of pathological specimens in patients undergoing resection of IPMN.

RESULTS: This review provides updated perspectives on morphological subtyping of IPMNs, classification of intraductal oncocytic papillary neoplasms, nomenclature for high-grade dysplasia, assessment of T stage, distinction of carcinoma associated or concomitant with IPMN, role of molecular assessment of IPMN tissue, role of intraoperative assessment by frozen section, and preoperative evaluation of cyst fluid cytology.

CONCLUSIONS: This analysis provides the foundation for data-driven approaches to several challenging issues in the pathology of IPMNs.

Original languageEnglish
Pages (from-to)878-891
Number of pages14
JournalPancreatology
Volume23
Issue number7
Early online date11 Aug 2023
DOIs
Publication statusPublished - Nov 2023

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