At the beginning, the major clinical problem was to recognize IPMT and to differentiate it from chronic pancreatitis (CP). The majority of undiag- nosed IPMTs are, in fact, wrongly interpreted as CP. Increased awareness of these tumors has decreased the number of incorrect diagnoses. Nowadays, pre- operative recognition of the histological grading of these tumors is desirable (Yamaguchi et al. 1996).
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