{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:04Z","timestamp":1751485204555,"version":"3.41.0"},"reference-count":29,"publisher":"International College of Surgeons","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>The efficacy of chemoradiotherapy for invasive pancreatic ductal carcinoma derived from an intraductal papillary mucinous neoplasm (IPMN) has not been established. The subject of the present report was a 53-year-old man admitted for the treatment of IPMN. The tumor, located in the pancreatic body, was of the mixed type of IPMN, and it involved the branch duct, where it was 38 mm in diameter, and the main duct, where it was 6 mm in diameter. Distal pancreatectomy was performed and the postoperative course was uneventful; however, histopathologic diagnosis revealed invasive ductal carcinoma with a positive surgical margin in the pancreatic duct. Although total pancreatectomy was recommended, chemoradiotherapy (50.4-Gy irradiation and gemcitabine) was preferred by the patient. At 9-month follow up, computed tomography and magnetic resonance imaging showed a cystic mass at the surgical margin of the pancreas. Endoscopic ultrasonography showed a 44-mm cystic lesion with nodules in the remnant pancreas, on the basis of which he underwent total pancreatectomy. Pathologic examination of the resected specimen revealed absence of the epithelium at the surgical margin of the main pancreatic duct, and malignant cells were not detected.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00031.1","type":"journal-article","created":{"date-parts":[[2013,11,14]],"date-time":"2013-11-14T15:04:38Z","timestamp":1384441478000},"page":"340-345","source":"Crossref","is-referenced-by-count":2,"title":["Favorable Response After Gemcitabine-Radiotherapy for Invasive Pancreatic Intraductal Papillary Mucinous Neoplasm: A Case Report"],"prefix":"10.9738","volume":"98","author":[{"given":"Takanori","family":"Ochiai","sequence":"first","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimihiro","family":"Igari","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaki","family":"Furuyama","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromitsu","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Mitsunori","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arihiro","family":"Aihara","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Kumagai","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michio","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Odajima","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeki","family":"Arii","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"key":"i0020-8868-98-4-340-b01","series-title":"World Health Organization International Histological Typing of Tumors of the Exocrine Pancreas","first-page":"1","author":"Kloppel\n              G,","year":"1996","unstructured":"Kloppel\n              G, \n            \n              Solcia\n              E, \n            \n              Longnecker\n              DS, \n            \n              Capella\n              C, \n            \n              Sobin\n              LH. \n          \n          World Health Organization International Histological Typing of Tumors of the Exocrine Pancreas. Berlin, Germany: Springer\u2013Verlag;1996:1\u201361"},{"issue":"3","key":"i0020-8868-98-4-340-b02","series-title":"Clin Gastroenterol Hepatol","first-page":"259","article-title":"Multidisciplinary approach to diagnosis and management of intraductal papillary mucinous neoplasms of the pancreas","volume":"7","author":"Sahani\n              DV,","year":"2009","unstructured":"Sahani\n              DV, \n            \n              Lin\n              DJ, \n            \n              Venkatesan\n              AM, \n            \n              Sainani\n              N, \n            \n              Mino-Kenudson\n              M, \n            \n              Brugge\n              WR\n            \n            et al\n          . Multidisciplinary approach to diagnosis and management of intraductal papillary mucinous neoplasms of the pancreas. 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