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Fig. 7. Combined type intraductal papillary mucinous neoplasm (IPMN) with two worrisome features (main pancreatic duct 5?9 mm in diameter and lymphadenopathy) in a 73-year-old male. (A?C) Contrast-enhanced computed tomography images demonstrate mild dilatation of the main pancreatic duct (A, arrow), measuring 6 mm in diameter, and several cystic lesions (B, arrow) in the pancreas tail. Several borderline-sized lymph nodes (arrowheads) are observed in the hepatoduodenal ligament (A), peripancreatic area (B), and gastrohepatic ligament (C). The pathologic diagnosis was combined type IPMN with intermediate-grade dysplasia.
Gastrointestinal Intervention 2016;5:40~46 https://doi.org/10.18528/gii150020
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