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Intraductal papillary mucinous neoplasms (IPMNs), intestinal-type, are the second most common subtype and account for about 20% of cases.

They usually involve the main pancreatic duct and are characterized by villiform papillae, similar to those seen in tubulovillous adenomas of the colon. They are usually high-grade lesions.

Image courtesy of: Phoenix Bell, MD.

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