International Intraductal Papillary Mucinous Neoplasms Registry: Long-Term Results Based on the New Guidelines

Maria Moris, Massimo Raimondo, Timothy A Woodward, Verna J Skinner, Paolo G Arcidiacono, Maria C Petrone, Claudio De Angelis, Selene Manfrè, Silvia Carrara, Manol Jovani, Pietro Fusaroli, Michael B Wallace

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OBJECTIVE: The aim of this study was to analyze the outcomes of a long-term intraductal papillary mucinous neoplasm (IPMN) registry and evaluate new guidelines.

METHODS: A prospectively maintained IPMN registry involving 6 centers in Europe and the United States was used to collect the data. Patients with more than 1-year follow-up and no malignancy diagnosed within the first 3 months of surveillance were included.

RESULTS: From 1999 to 2014, 620 patients were included. The median follow-up time was 3 years. Thirty-seven (6%) patients developed malignancy with a median time from IPMN diagnosis to malignancy of 10.3 months. The 1-, 5-, and 10-year actuarial rates of disease-free survival were 97%, 93%, and 92% respectively. Four hundred thirty-one patients met criteria for low-risk branch duct IPMN consisting of cyst size less than 3 cm, with no solid component or main duct dilation. Eight malignancies were diagnosed in this subgroup, all of them within the first 5 years. From this subcohort, 112 patients had a follow-up time of more than 5 years, and no malignancy was diagnosed.

CONCLUSIONS: In IPMN lesions with low-risk features at baseline, the risk of progression to malignancy after the first 5 years of follow-up was minimal. Furthermore, the main cyst characteristics remained unchanged during their surveillance.

Original languageEnglish
Pages (from-to)306-310
Number of pages5
Issue number3
Publication statusPublished - Mar 2017


  • Journal Article


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