닫기

Ex) Article Title, Author, Keywords

Current Issue

KORENG
  • Review Article | 2021-06-01
    153 99

    췌관 내 유두상 점액종양의 치료 전략과 추적 관찰–소화기내과의 관점

    김태현, 전형구

    Journal of Digestive Cancer Reports 2021; 9(1): 1-7

    Abstract : The length, the frequency, and the methods of surveillance for intraductal papillary mucinous neoplasm (IPMN) of the pancreas are still debating. According to the recent guidelines, IPMN is stratified into “high-risk stigmata” or absolute indication and “worrisome features” or relative indication as a guide in managing these patients, either those with resection of the lesion or those under surveillance. The risk of malignant transformation was quite low for branch duct-IPMNs without worrisome features or high risk stigmata. However, because the incidence rate of pancreatic cancer in these patients increase linearly with time, continued long-term surveillance is therefore important for patients with low-risk, as well as higher-risk, IPMN. Considering the high prevalence of malignancy, main duct-IPMN should be treated by surgical resection. Among patients with these type IPMNs, segmental dilatation of the main pancreatic duct without any mural nodules and larger than 10 mm of main pancreatic duct might not be immediately resected and need very careful examination and observation. The risk related to a major pancreatic resection must balance the risk of surveillance in patients with IPMN of the pancreas who have co-morbidity and are elderly.

  • Review Article | 2021-06-01
    255 54

    What are the Appropriate Surgery and Postoperative Surveillance for Intraductal Papillary Mucinous Neoplasm?

    Noboru Ideno , Kohei Nakata , Masafumi Nakamura

    Journal of Digestive Cancer Reports 2021; 9(1): 8-18

    Abstract : Although many guidelines for pancreatic cystic neoplasms focus on the management of intraductal papillary mucinous neoplasm of the pancreas (IPMN) at the highest oncological risk, there are many issues that surgeons need to consider at the time to plan the surgical procedures based on characteristics of IPMN subtypes, such as multiplicity of branch duct-IPMN (BD-IPMN) and intraductal spreading of main duct-IPMN (MD-IPMN). For multifocal BD-IPMN, partial pancreatectomy would be selected to remove BD-IPMN with predictors of malignancy, while the other lesions without risk factors can be left, although total pancreatectomy might be considered if the patients have a strong family history of pancreatic cancer. Partial pancreatectomy would be also adequate procedure for MD-IPMN if negative surgical margin for high-grade dysplasia or invasive carcinoma were achieved. It has become to be well-known that patients with BD-IPMN are at increased risk for developing not only IPMN-associated pancreatic ductal adenocarcinoma (PDAC) but also PDAC independent from the IPMN. Hence, the detection of a concomitant PDAC is also an important focus for strategies after resection of BD-IPMNs. Our recent analysis of patients after partial pancreatectomy for MD-IPMN with negative surgical margin identified an unexpected recurrence pattern, which we called “monoclonal skip” recurrence. MD-IPMN seems to be disseminated in the pancreatic ductal systems and MD-IPMN with identical genetic background was detected in the remnant pancreas even in a long time after index surgery. We proposed strategies of postoperative surveillance based on characteristics and natural history of each morphological subtype.

  • Review Article | 2021-06-01
    162 72

    크기가 작은 췌장 신경내분비종양의 관리

    백우현1, 이경주2, 장성일3, 조재희3

    Journal of Digestive Cancer Reports 2021; 9(1): 19-24

    Abstract : The incidence of small and asymptomatic pancreatic neuroendocrine neoplasms (PNENs) has been increased due to the widespread use of high-resolution imaging techniques and endoscopic procedures in screening programmes. Most of PNENs are indolent neoplasms with slow-growing. However, sometimes, PNENs show local invasion or metastasis with poor prognosis. The management of small, nonfunctioning PNENs remain under debate. The National Comprehensive Cancer Network guidelines recommend observation in selected cases of small PNENs less than 2 cm. Pancreatic surgeons are divided into two factions: “the hawks,” who indicate the high risk of malignancy even in small PNENs and, therefore, the need for an aggressive surgical treatment, and the “the doves,” who accepts the risk of malignancy in some ≤ 2 cm PNENs, advocate that the risk of overtreating many benign ≤ 2 cm PNENs would be much higher. As the pancreatic surgery remains a high-risk operation with a 28–30% morbidity and 1% mortality, the decision for small PNENs is challenging.

  • Review Article | 2021-06-01
    195 73

    췌장 양성 종양의 내시경적 치료

    황준성1, 고성우2

    Journal of Digestive Cancer Reports 2021; 9(1): 25-32

    Abstract : Since Endoscopic ultrasound (EUS) was introduced in the 1980s, EUS has evolved from a diagnostic tool to a therapeutic modality for patients with pancreatic neoplasms. Traditionally, treatment policy of pancreatic benign neoplasms (PBN) has been a dichotomous approach to observation or surgery. However, EUS guided treatment provides an alternative option with minimally invasiveness for patients with PBN. This review aimed to provide the role of EUS guided treatment for PBN.

  • Cancer Image of the Issue | 2021-06-01
    167 44

    Angioimmunoblastic T Cell Lymphoma Mimicking Postoperative Lymph Node Recurrence in Cholangiocarcinoma

    Seungjung Ha , Min Eui Hong , Jae Keun Park

    Journal of Digestive Cancer Reports 2021; 9(1): 33-36
  • Research Trend | 2021-06-01
    166 83

    진행성 담도암에서 2차 항암치료로 FOLFOX의 효과

    이경주1, 박병규2

    Journal of Digestive Cancer Reports 2021; 9(1): 37-39
  • Education Series | 2021-06-01
    126 59

    Focus on Rectal Mass

    Seon-Young Park , Hyun-Soo Kim

    Journal of Digestive Cancer Reports 2021; 9(1): 40-41

Journal Info

JDCR
Vol.9 No.1
June 1, 2021
eISSN : 2765-6713
pISSN : 2288-1581
Frequency: Semiannual

open access

Most KeyWord ?

What is Most Keyword?

  • It is most registrated keyword in articles at this journal during for 2 years.

Editorial Office

Journal of Digestive Cancer Reports

eISSN 2765-6713
pISSN 2288-1581