Kamisawa T, Tu Y, Egawa N, Nakajima H, Tsuruta K, Okamoto A. Malignancies associated with intraductal papillary mucinous neoplasm of the pancreas. World J Gastroenterol 2005; 11(36): 5688-5690 [PMID: 16237766 DOI: 10.3748/wjg.v11.i36.5688]
Corresponding Author of This Article
Dr. Terumi Kamisawa, Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan. kamisawa@cick.jp
Article-Type of This Article
Brief Reports
Open-Access Policy of This Article
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World J Gastroenterol. Sep 28, 2005; 11(36): 5688-5690 Published online Sep 28, 2005. doi: 10.3748/wjg.v11.i36.5688
Table 1 Other malignacies in patients with IPMN
Previous
At diagnosis
Post diagnosis
Total
Gastric cancer
4
7
1
12
Colonic cancer
4
3
0
7
Esophageal cancer
3
1
0
4
Pulmonary cancer
0
2
2
4
Pancreatic cancer
0
2
1
3
Breast cancer
2
0
0
2
Hepatocellular cancer
0
2
0
2
Uterine cancer
1
0
0
1
Pharyngeal cancer
1
0
0
1
Bile duct cancer
0
1
0
1
Prostatic cancer
0
1
0
1
Laryngeal cancer
0
0
1
1
Malignant lymphoma
0
0
1
1
Table 2 Other malignancies of more than two organs in patients with IPMN
Case
Age (yr)
Sex
Previous
At diagnosis
Postdiagnosis
1
76
M
Gastric cancer (EMR, 1 yr ago)
Pulmonary cancer (4 yr after)
Esophageal cancer (EMR, 1 yr ago)
2
74
F
Uterine cancer (ope, 10 yr ago)
Hepatocellular cancer
Colonic cancer
3
70
M
Gastric cancer
Colonic cancer
Pulmonary cancer
4
83
F
Esophageal cancer
Malignant lymphoma (1 yr after)
5
78
M
Hepatocellular cancer
Gastric cancer (6 yr after)
6
78
M
Esophageal cancer (EMR, 1 yr ago)
Laryngeal cancer (6 yr after)
7
68
M
Esophageal cancer (EMR, 2 yr ago)
Pancreatic cancer (3 yr after)
Table 3 Clinicopathological findings of IPMN patients with and with-out other malignancies
With other malignancies (n = 28)
Without other malignancies (n = 51)
P
Age (yr)
71.9±8.2
66.8±9.3
P<0.05
Male/Female
8/20
34/17
NS
Follow-up period1
3.2±0.5
3.4±0.5
NS
Site of IPMN
NS
Main duct
13
17
Branch duct
15
34
Resection/Nonresection of IPMN
7/20
16/35
NS
Cause of death
Invasive IPMN
1
4
Gastric cancer
4
0
Pulmonary cancer
3
0
Pancreatic cancer
2
0
Colonic cancer
2
0
Esophageal cancer
1
0
Hepatocellular cancer
1
0
Malignant lymphoma
1
0
Pneumonia
1
1
Renal failure
0
1
Table 4 IPMN concomitant with independent pancreatic cancer
Case
Age (yr)
Sex
Syn/Met
Othermalignancies
IPMNlocation
Site
Therapy
Pancreaticlocation
Cancertherapy
Stage
Prognosis
1
71
M
Syn
None
Head
Branch
None
Body
DP
III
Died 7 mo after operation
2
75
M
Syn
None
Head
Branch
None
Head
None
IV
Died 8 mo after diagnosis
31
68
M
Met
Esophageal cancer
Head
Branch
PD
Head
PD
II
Alive now 3 yr after diagnosis of IPMN
Citation: Kamisawa T, Tu Y, Egawa N, Nakajima H, Tsuruta K, Okamoto A. Malignancies associated with intraductal papillary mucinous neoplasm of the pancreas. World J Gastroenterol 2005; 11(36): 5688-5690