RT Journal A1 Frampton AE, Pai M, Krell J, Vlavianos P, Jiao LR, Spalding DC T1 THe “malignant truth” about the recurrence of pancreatic intraductal papillary mucinous neoplasms JF Archives of Surgery JO Archives of Surgery YR 2012 FD October 1 VO 147 IS 10 SP 977 OP 980 DO 10.1001/archsurg.2012.2287 UL http://dx.doi.org/10.1001/archsurg.2012.2287 AB We thank Moriya and Traverso1 for their recent report presenting data from their longitudinal cohort study describing the recurrence of intraductal papillary mucinous neoplastic (IPMN) lesions in the pancreatic remnant after previous partial resection. Some of these data were also discussed in a recent review article.2 The study by Moriya and Traverso1 further reinforces the difficulties that we face when treating IPMN disease and presents some interesting findings, some of which have already been described by others. In our opinion, this cohort study1 has added to our understanding of IPMN recurrence, and we are therefore grateful to Moriya and Traverso1 for their efforts. A few points, however, deserve mention.