How is the management of IPMN?

Pancreaticoduodenectomy is tx of choice for most pt (if IPMN in head) Distal pancreatectomy (body/tail lesions) If entire duct involved we perform total pancreatectomy. Prognosis after resection is excellent (5 year survival is 75%, worse outcome may occur after invasive histology including lymph node metastasis, lymphovascular invasion, perineural invasion...) So we need post op imaging for pt even without invasive tumors. Pt w/recurrent disease localized in pancreas benifit from complete pacreatectomy