IPMN is a mucin-producing cystic neoplasm arising from the pancreatic ductal system.
What is this condition?
It may involve the main duct, branch ducts or both; malignant potential is not the same for all IPMNs.
Signs and symptoms
Many are found incidentally; some patients have pancreatitis or abdominal pain.
Diagnostic assessment
The 2024 Kyoto guidelines provide a structured approach to high-risk stigmata, worrisome features, surveillance and follow-up after resection.
General treatment framework
Lower-risk IPMN can be monitored; surgical assessment is considered when risk features increase.
Role of surgery
Depending on distribution, surgery may involve a Whipple procedure, distal pancreatectomy or selected more extensive resection.
