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Table 3 Detailed characteristics of patients who underwent pancreatic surgery

From: Limitations and prospects in the management of IPMN: a retrospective, single-center observational study

 

ID

Age [years]

ASA-Score

Sex

Radiological diagnosis

HRS at diagnosis

WF at diagnosis

Time from diagnosis [months]

Indication for surgery

Procedure*

Postoperative histopathological diagnosis

Primary surgery

#1

72

2

M

MT, head, cyst 10 mm, MPD 5 mm

−

 + 

13

WF at diagnosis (recurrent pancreatitis + MPD dilatation)

DP

MT-IPMN, 20 mm, gastric type, moderate dysplasia

#2

65

2

F

BD, head/neck, cyst 55 mm

−

 + 

3

WF at diagnosis (cyst size + enhancing cyst walls)

PD

MT-IPMN, 46 mm, gastric type with PDAC pT1a (2 mm) pN0 (0/14) LV0 Pn0 R0

#3

61

2

F

MT, tail, cyst 16 mm, MPD 6 mm

−

 + 

9

WF at diagnosis (MPD dilatation)

DP

BD-IPMN, 20 mm, gastric type, low-grade dysplasia

#4

78

3

M

MD, tail, cyst 30 mm

−

 + 

7

WF at diagnosis (recurrent pancreatitis + cyst size)

DP

MD-IPMN, type unknown,low-grade dysplasia

#5

71

2

M

BD, head, cyst 13 mm

 + 

 + 

2

HRS at diagnosis (HGD at EUS-FNA)

PD

BD-IPMN, 14 mm, gastric type, low-grade dysplasia

#6

51

2

M

BD, uncinate process, cyst 18 mm

 + 

 + 

3

HRS at diagnosis (HGD at EUS-FNA)

PD

BD-IPMN, 18 mm, gastric type, low-grade dysplasia

#7

65

2

F

MT, head, cyst 28 mm, MPD 6 mm

−

 + 

1

HRS at diagnosis (MPD dilatation)

PD

MT-IPMN, 20 mm, gastric type, moderate dysplasia

#8

75

2

M

MD, head, cyst 29 mm

 + 

 + 

1

HRS at diagnosis (obstructive jaundice + cyst size)

TP

MT-IPMN, gastric type with PDAC pT3 (38 mm) pN1 (3/18) LV0 pN1 R0

#9

71

2

M

BD, tail, cyst 12 mm

−

−

3

Concomitant NET of the pancreatic tail

DP

BD-IPMN, 15 mm, gastric type, no dysplasia (NET, 6 mm, G1)

#10

53

2

F

BD, tail, cyst 14 mm

−

−

2

Elevated cyst CEA (suspicion mucinous cystadenoma)

DP

BD-IPMN, 14 mm, type unknown, low-grade dysplasia

Surveillance program

#11

50

3

M

MT, head, cyst 84 mm, MPD 8 mm

−

 + 

23

Progression (cyst size 100 mm, rapid cyst growth)

PD

MT-IPMN, 100 mm, oncycytic type withhigh-grade dysplasia

#12

63

3

M

MD, head, cyst 19 mm, MPD 6 mm

−

 + 

19

Progression (rapid cyst growth)

PD

MD-IPMN, intestinal type high-grade dysplasia

#13

56

2

M

BD, uncinate process, cyst 20 mm

−

−

10

Progression (cyst size 30 mm, rapid cyst growth)

PD

BD-IPMN, gastric type low-grade dysplasia

#14

67

2

F

BD, neck/body, cyst 26 mm

−

−

45

Concomitant serous cystadenoma

PD

BD-IPMN, 15 mm, pancreatico-biliary type, low-grade dysplasia (serous cystadenoma, 11 mm)

#15

64

3

M

BD, tail, cyst 17 mm

−

−

15

Concomitant gastric GIST

DP + gastric resection

BD-IPMN, 20 mm, gastric type, low-grade dysplasia (gastric GIST, 35 mm)

  1. HRS High-risk stigmata, WF worrisome features, BD branch duct, MD main duct, MT mixed type, MPD main pancreatic duct, NET neuroendocrine tumor, GIST gastrointestinal stromal tumor, PDAC pancreatic ductal adenocarcinoma, PD pancreaticoduodenectomy, DP distal pancreatectomy, CP central pancreatectomy, TP total pancreatectomy, EUS-FNA endoscopic ultrasound-guided fine-needle aspiration, HGD high-grade dysplasia, CEA carcinoembryonic antigen
  2. *All surgical resections were performed with standard lymphadenectomy according to the ISGPS consensus [51]