Informing Decision-making for Transected Margin Reresection in Intraductal Papillary Mucinous Neoplasm-derived PDAC

In IPMN-derived PDAC, normal epithelium or low-grade dysplasia at the neck have similar outcomes while pancreatic neck margins with high-grade dysplasia or invasive cancer are associated with poorer outcomes. Conversion of a high-risk to low-risk margin after intraoperative frozen section is associated with survival benefit and should be performed when feasible.

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Institutions

Publication Details

Journal
Annals of Surgery
Published
2024-09-12
DOI
https://doi.org/10.1097/sla.0000000000006532
Citations
6
Primary Topic
Pancreatic and Hepatic Oncology Research
Type
article
Field-Weighted Citation Impact
1.70

Funders

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article

Informing Decision-making for Transected Margin Reresection in Intraductal Papillary Mucinous Neoplasm-derived PDAC

Greg D. Sacks, Beat Peter Müller-Stich, Hjalmar C. van Santvoort, Marc G. Besselink et al.
6 citations
Annals of Surgery
Pancreatic and Hepatic Oncology Research
1.70
article

Informing Decision-making for Transected Margin Reresection in Intraductal Papillary Mucinous Neoplasm-derived PDAC

Greg D. Sacks, Beat Peter Müller-Stich, Hjalmar C. van Santvoort, Marc G. Besselink, Adrian T. Billeter, Markus Wolfgang Büchler, Benedict Kinny‐Köster, Ingmar F. Rompen, Joseph R. Habib, Brady A. Campbell, Lois A. Daamen, I Quintus Molenaar, Jing He, P. Andel, Ammar A. Javed, Christopher L. Wolfgang, Martin Loos
article en
6 citations

Abstract

In IPMN-derived PDAC, normal epithelium or low-grade dysplasia at the neck have similar outcomes while pancreatic neck margins with high-grade dysplasia or invasive cancer are associated with poorer outcomes. Conversion of a high-risk to low-risk margin after intraoperative frozen section is associated with survival benefit and should be performed when feasible.

Annals of Surgery
Champalimaud Foundation (PT), Heidelberg University (DE), University Hospital Heidelberg (DE), University Medical Center Utrecht (NL), NYU Langone Health (US), St. Antonius Ziekenhuis (NL), Johns Hopkins Hospital (US), Amsterdam University Medical Centers (NL), Cancer Center Amsterdam (NL), University of Amsterdam (NL)
National Science Foundation, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung, National Institutes of Health
Peace, Justice and strong institutions
Openalex Percentile: Top 13%
Pancreatic and Hepatic Oncology Research
1.70
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