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. 2002 Nov;51(5):717–722. doi: 10.1136/gut.51.5.717

Table 1.

Clinical, biochemical, pathological features and follow up after resection in 73 patients with malignant IPMT according to their pathological status (in situ or invasive carcinoma)

In situ (n=22) Invasive (n=51) p Value
Sex (male/female) 14/8 35/16 NS
Median age (y) 62.6 (25–89) 63.8 (38–81) NS
First symptom
    Acute pancreatitis 8 12 NS
    Abdominal pain 4 9 NS
    Jaundice 2 10 NS
    Diarrhoea 3 6 NS
    Weight loss 2 6 NS
    Diabetes 2 2 NS
    Mass 0 2 NS
    Asymptomatic 1 4 NS
Median diagnosis delay (months) 24 (0–196) 3 (0–180) 0.01
CEA (n=38)* ≥2N 0/12 6/26 NS
CA 19.9 (n=46)* ≥2N 1/12 16/34 0.03
Tumour location
    Head/corpus 14 35 NS
    Tail 2 12 NS
    Diffuse 4 2 NS
Duct involvement
    Main duct or combined 18 47 NS
    Branch ducts only 4 4 NS
Median tumour size (mm) (n=60)* 23 (9–40) 36 (10–130) 0.01
Pancreatic cut surface
    Normal 17 33 NS
    Simple hyperplasia 2 7 NS
    Atypical hyperplasia 1 6 NS
    In situ carcinoma 2 2 NS
    Invasive carcinoma 0 3 NS
Metastatic lymph nodes 0 17 0.002
Cancer relapse 0 28 0.001
Median follow up (months) 28 (0–145) 23 (0–115) NS
Postoperative death 1 2 NS
Five year survival (SE) 88% ( 8) 36% ( 9) 0.001

IPMT, intraductal papillary mucinous tumours of the pancreas; CEA, carcinoembryonic antigen; CA 19.9, carbohydrate antigen 19-9; NS, p>0.05. N, upper limit of the normal laboratory value. *Available data.