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• W2172019417 abstract "Recent Advances in magnetic resonance cholangiopancreatography (MRCP) now make it likely to encounter patients with small pancreatic cysts or a slight dilation of the pancreatic duct. Since it is not rare for these changes to be observed concomitantly with chronic pancreatitis, intraductal papillary-mucinous carcinoma, 1 Sugiyama M. Atomi Y. Intraductal papillary mucinous tumors of the pancreas: Imaging studies and treatment strategies. Ann Surg. 1998; 228: 685-691 Crossref PubMed Scopus (262) Google Scholar and noninvasive carcinoma of the pancreas, 2 Nakaizumi A. Tatsuta M. Uehara H. Yamamoto R. Takenaka A. Kishigami Y. et al. Cytologic examination of pure pancreatic juice in the diagnosis of pancreatic carcinoma. Cancer. 1992; 70: 2610-2614 Crossref PubMed Scopus (98) Google Scholar , 3 Ishikawa O. Imaoka S. Ohigashi H. Nakaizumi A. Uehara H. Wada A. et al. A new method of intraoperative cytodiagnosis for more precisely locating the occult neoplasms of the pancreas. Surgery. 1992; 111: 294-300 PubMed Google Scholar some authors 2 Nakaizumi A. Tatsuta M. Uehara H. Yamamoto R. Takenaka A. Kishigami Y. et al. Cytologic examination of pure pancreatic juice in the diagnosis of pancreatic carcinoma. Cancer. 1992; 70: 2610-2614 Crossref PubMed Scopus (98) Google Scholar , 3 Ishikawa O. Imaoka S. Ohigashi H. Nakaizumi A. Uehara H. Wada A. et al. A new method of intraoperative cytodiagnosis for more precisely locating the occult neoplasms of the pancreas. Surgery. 1992; 111: 294-300 PubMed Google Scholar have recommended an endoscopic retrograde pancreatography (ERP) to collect pancreatic juice for cytologic examination. Consequently, we occasionally encounter patients in whom cancer cells were detected in the pancreatic juice, while their precise location could not be identified by radiologic imaging. 2 Nakaizumi A. Tatsuta M. Uehara H. Yamamoto R. Takenaka A. Kishigami Y. et al. Cytologic examination of pure pancreatic juice in the diagnosis of pancreatic carcinoma. Cancer. 1992; 70: 2610-2614 Crossref PubMed Scopus (98) Google Scholar , 3 Ishikawa O. Imaoka S. Ohigashi H. Nakaizumi A. Uehara H. Wada A. et al. A new method of intraoperative cytodiagnosis for more precisely locating the occult neoplasms of the pancreas. Surgery. 1992; 111: 294-300 PubMed Google Scholar , 4 Ishikawa O. Ohigashi H. Nakamori S. Sasaki Y. Furukawa H. Imaoka S. et al. Three-segmental cytodiagnosis using balloon catheter for locating occult carcinoma of the pancreas. J of Amer College of Surgeons. 1994; 180: 353-355 Google Scholar The cancer may lie in a location separate from the known cystic or ductal abnormalities. Thus, to locate the cancer lesions precisely and determine the appropriate range of pancreatectomy, we performed an intraoperative 3-segment cytology, 4 Ishikawa O. Ohigashi H. Nakamori S. Sasaki Y. Furukawa H. Imaoka S. et al. Three-segmental cytodiagnosis using balloon catheter for locating occult carcinoma of the pancreas. J of Amer College of Surgeons. 1994; 180: 353-355 Google Scholar , 5 Ishikawa O. Ohigashi H. Imaoka S. et al. Surgical techniques of cytology-guided pancreatectomy for occult neoplasm of the pancreas. Hepato-Gastroenterology. 1995; 42: 724-729 PubMed Google Scholar a technique in which pancreatic juice is collected from each of the 3 segments (head, body and tail) with the aid of a balloon catheter for intraoperative cytodiagnosis. Our previous report 5 Ishikawa O. Ohigashi H. Imaoka S. et al. Surgical techniques of cytology-guided pancreatectomy for occult neoplasm of the pancreas. Hepato-Gastroenterology. 1995; 42: 724-729 PubMed Google Scholar proved that this method was useful not only for the complete resection of occult lesions (minute and potentially curable cancer) but also for preserving as much intact pancreas as possible." @default.
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• W2172019417 date "2005-11-01" @default.
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• W2172019417 title "A subsegmental pancreatectomy performed for carcinoma in situ limited to the proximal half of the pancreatic head with the aid of intraoperative 4-segment cytology for pancreatic juice—a case report" @default.
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