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胰腺导管内乳头状黏液性肿瘤(intraductal papil-lary mucinous neoplasm,IPMN)分主胰管型、混合型和分支胰管型。主胰管型、混合型和有症状的分支胰管型IPMN建议行手术切除,对恶性IPMN,需行规则性胰腺切除。对良性和交界性IPMN,可行功能保留性胰腺手术。对暂时不行手术切除的IPMN病人,应定期随访。IPMN的治疗决策需综合考虑各方面因素,包括病人的预期寿命、身体状况、治疗意愿、依从性、随访的条件等加以综合评估,最后形成个体化的治疗方案。
Pancreatic ductal papillary mucinous neoplasm (intraductal papil-lary mucinous neoplasm, IPMN) is divided into primary pancreatic duct type, mixed type and branch pancreatic duct type. Primary pancreatic ductal, mixed, and symptomatic branch pancreatic ductal IPMN suggest surgical resection and for malignant IPMN, regular pancreatic resection is required. For benign and borderline IPMN, viable functional retention pancreatic surgery. IPMN patients who are not undergoing surgical resection should be followed up regularly. IPMN treatment decisions need to consider various factors, including the patient’s life expectancy, physical condition, treatment of willingness, compliance, follow-up conditions to be comprehensive assessment of the final formation of individualized treatment programs.