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Doctor insights on: Intraductal Papillary Mucinous Neoplasm Ipmn

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Intraductal Papillary Mucinous Neoplasm on pancreas. 3mm. Same for 2 1/2 yrs. Cancer? Dr only follow with MRI. Should it be removed?

Intraductal Papillary Mucinous Neoplasm on pancreas. 3mm. Same for 2 1/2 yrs. Cancer? Dr only follow with MRI. Should it be removed?

Good question: This may or not be a cancer, but without changes in appearance in 2 1/2 yrs and not knowing your complete medical history I would suggest that you follow your physician's plan and to feel better emotionally ask him/her to refer you to an oncologist for a second opinion. It is not unusual for doctors to agree to this request. ...Read more

Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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What is intraductual papillary mucinous neoplasm.

Terminology: A tumor that is confined to the ducts of the organ and is making mucus. Such neoplasms are not cancers in the traditional sense, but may exist with cancer and may be precancerous. ...Read more

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Is it possible for you to feel a mucinous neoplasm in your appendix or colon?

Is it possible for you to feel a mucinous neoplasm in your appendix or colon?

Unlikely: Colon and appendix are located quite deeply in your abdomen. So you can not feel any growth arising from there unless it become very large and it has been neglected and allowed to grow unchecked for many years. ...Read more

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I was wondering if thyroidectomy the only way to determine if a papillary lesion / follicular neoplasm is benign or malignant?

I was wondering if thyroidectomy the only way to determine if a papillary lesion / follicular neoplasm is benign or malignant?

No/Yes: Papillary cancers can usually be diagnosed by fine needle aspiration biopsy (fnab) preoperatively. In contrast, the distinction between a benign and malignant follicular neoplasm can only be determined by removing the thyroid lobe that contains the nodule. In these situations, the pathologist is looking for cellular invasion into blood vessels or the capsule of thyroid: this cannot be seen by fnab. ...Read more

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What is this? The histo show feature of mucinous neoplasm of apendix. Proximal margin show mucinous material w/c predispose pt to low risk of recurence

What is this? The histo show feature of mucinous neoplasm of apendix. Proximal margin show mucinous material w/c predispose pt to low risk of recurence

Back to surgeon: Not sure answer loaded. Sounds like you are looking at a pathology report. Go back to the surgeon. If they are not helpful, ask the pathologist. If you still have questions ask your primary MD or an oncologist. You MAY have something unusual here. Be well ...Read more

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My mother 65 years old, went to the dr. For breast lump. After mamo, u/sound she did neddle biopsy. Report shows the 'papillary neoplasm'. What is it?

My mother 65 years old, went to the dr. For breast lump. After mamo, u/sound she did neddle biopsy. Report shows the 'papillary neoplasm'. What is it?

Excision Needed: "Papillary neoplasm" encompasses both benign, pre-cancerous, or malignant lesions, depending on the underlying pathology seen in the entire specimen. Therefore, a needle biopsy is insufficient for diagnosis; excision is necessary. ...Read more

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What are my options for ipmn they beleive it is cancer and not precancer?

What are my options for ipmn they beleive it is cancer and not precancer?

Operation: If there is a low suspicion for cancer, and other parameters are within normal limits, these lesions can be observed with repeat ct scans or endoscopic ultrasound examinations. However, if there is a concern that the ipmn has cancer within it, then these should absolutely be surgically removed unless the patient is not healthy enough to withstand this type of operation. ...Read more

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Side branch IPMN. 3mm for 2 years. This size cause symptoms? Is this definitely cancer? What should be done? Dr only does f/u imaging. Am I dying?

Side branch IPMN. 3mm for 2 years. This size cause symptoms? Is this definitely cancer? What should be done? Dr only does f/u imaging. Am I dying?

Leave it alone: Most of these little things in the pancreas are harmless. Just watch it. If it starts growing, it can be removed while it's still not a huge danger. Pancreatic surgery is grisly. Avoid it if you can. ...Read more

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2 years ago MRI showed 3mm side branch IPMN on pancreas. MRI today shows same size. But doctor is not doing anything other than yearly imaging. Safe??

2 years ago MRI showed 3mm side branch IPMN on pancreas. MRI today shows same size. But doctor is not doing anything other than yearly imaging. Safe??

Lesion may change: Intraductal papillary mucinous neoplasm of pancereas rare to pick up on MRI when several mm in size. The transition to malignancy of a ductal neoplasm takes 15-20 yrs. It may be important to have ERCP and brushing or bx of lesion to assure that it is of the type that will not change. ...Read more

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On a CT with contrast of Abd/Pelvis it say "Hypodensity in the pancreatic head may represent IPMN or small pseudocyst. Slightly prominent pancreatic?

On a CT with contrast of Abd/Pelvis it say "Hypodensity in the pancreatic head may represent IPMN or small pseudocyst. Slightly prominent pancreatic?

Need more info: Would need more information to answer this. Why was the CT scan being performed? Pain? Pancreatitis? Some radiology findings are just incidental and have no clinical meaning. Ask your doctor who ordered the test if there is a concern for you. May need to see a GI specialist for endoscopy and endoscopic ultrasound of the pancreas. ...Read more

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On a CT with contrast of Abd/Pelvis it say "Hypodensity in the pancreatic head may represent IPMN or small pseudocyst. Slightly prominent pancreatic?

On a CT with contrast of Abd/Pelvis it say "Hypodensity in the pancreatic head may represent IPMN or small pseudocyst. Slightly prominent pancreatic?

See provider: The possibility of an intraductal papillary mucinous neoplasm (IPMN) in your pancreas means you should follow up with your health care provider to continue looking into possibly further evaluating the abnormality seen on your MRI. ...Read more

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Do benign intraductal papillomas need removal?

Do benign intraductal papillomas need removal?

Maybe, maybe not: If the tumor is benign then it might not need to come out. However, if it's in there long enough, it might start to cause problems like blocking the ducts to your mammary glands. Also, just because it's benign today doesn't mean it won't transform at some point. It might be worth having it out, if it's simple and easy to do. See your local surgeon for more ideas. ...Read more

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Intraductal papilloma info? What is prognosis?

Intraductal papilloma info? What is prognosis?

And sometimes: Its id papillary adenocarcinoma... The importance is whether it invades or confined to duct, and whether the margins are clear. These are analgous to dcis, usually er/pr+. They have excelent 5 and 10 year prognosis. Close to 100% survial, but it is when they are harbingers of invasive cancers that there are threats to life and breast. ...Read more

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Surgery for intraductal papilloma?

Surgery for intraductal papilloma?

Yes: One cannot forecast that it is "confined" untill it is excised and microscopically scrutinized. ...Read more

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What are my surgery choices for intraductal papilloma?

What are my surgery choices for intraductal papilloma?

Remove completely: Intraductal papilloma (ip) is the most common cause of bloody nipple discharge. They are usually noncancerous but can sometimes have abnormal cells or an early breast cancer. Once diagnosed on needle biopsy, they are usually completely removed with surgery. Since these are small, a small amount of tissue can be removed, so the breast is not deformed (also scar can be near nipple). ...Read more

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Papillary (Definition)

It means nipple-like projection or structure, such as breast nipples, on skin, at root of hairs, on the gums between teeth, or inside organs such as heart. Can also describe some ...Read more