BACKGROUND AND STUDY AIMS: The mucinsecreting @entity5 of the pancreas are a rare entity with characteristic duodenoscopic and radiological features. These @entity5 have a broad spectrum of presentation. The diagnosis requires highly experienced and attentive endoscopists. Once diagnosed, resection of the @entity5 is recommended to prevent progression to @entity5 . This surgical procedure has a low acceptance, mainly in the elderly @entity1 . Therefore, a "wait and see" strategy may be necessary in those @entity1 refusing operation. @entity1 AND METHODS: Between 1996 and 2000, @entity5 of the pancreas were diagnosed in eight @entity1 (5 females, 3 males) using endoscopic retrograde cholangiopancreatography, and confirmed by brush cytology and/or histology and analyzed retrospectively. RESULTS: The @entity1 showed typical endoscopic and radiological findings: dilatation and mucin extrusion of the papillary orifice, easy passage of instruments into the dilated main pancreatic duct, which showed @entity3067 after application of contrast medium. @entity1 were informed about the diagnosis in detail. Two @entity1 were inoperable. Surgery was recommended to the other six @entity1 . Two of the six @entity1 agreed to surgical treatment. The remaining four @entity1 were included in a follow-up protocol. These @entity1 were observed for up to 5 years. Only one @entity1 showed minor progression of ERCP-findings. CONCLUSION: Intraductal papillary-mucinous @entity5 of the pancreas can be well characterized by means of endoscopy and radiology. Poor compliance to surgical treatment makes individual multidisciplinary management and follow-up necessary.

Intraductal papillary-mucinous XXXX of the pancreas: presentation of eight cases.

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'intraductal papillary-mucinous tumors', 'malignancy', 'tumors'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PATIENTS'] @entity3067 :: ('MESH:C531609', 'Disease') :: ['patchy filling defects']
@entity5 :: (MESH:D009369,Disease) :: ['tumors']
