Subtyping of IPMN

Methods Mol Biol. 2019:1882:1-8. doi: 10.1007/978-1-4939-8879-2_1.

Abstract

Intraductal papillary mucinous neoplasms (IPMNs) characteristically consist of mucin-filled dilated ducts lined with neoplastic cells forming papillae with a diverse range of morphologies and varying grades of atypia. Based on morphological characteristics and immunohistochemical reaction against mucin proteins, IPMNs are classified into four distinct subtypes: gastric, intestinal, pancreatobiliary, and oncocytic. In this chapter, histomorphological criteria and techniques of immunohistochemical staining and its evaluation for subtyping IPMNs are described.

Keywords: Gastric; Intestinal; MUC1; MUC2; MUC5AC; MUC6; Oncocytic; Pancreatobiliary.

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / metabolism
  • Biopsy
  • Humans
  • Immunohistochemistry / instrumentation
  • Immunohistochemistry / methods
  • Mucins / analysis*
  • Mucins / metabolism
  • Pancreatic Intraductal Neoplasms / pathology*

Substances

  • Biomarkers, Tumor
  • Mucins