Evaluation of clinical meaning of histological subtypes of intraductal papillary mucinous neoplasm of the pancreas.

Abstract:

OBJECTIVES:Prognostic value of histological subtypes of pancreatic intraductal papillary mucinous neoplasm (IPMN) has been reported to have conflicting results. The authors investigated the clinicopathological characteristics and prognostic significance of the histological subtypes of IPMNs with various degrees of dysplasia. METHODS:Two hundred thirteen patients with surgically treated pancreatic IPMN at a single tertiary care referral center were included. Pathological slides were thoroughly reviewed by a specialized pathologist. RESULTS:Of the 213 patients, 38 low-grade, 97 intermediate-grade, and 18 high-grade dysplasia and 59 IPMNs with an associated invasive carcinoma (invasive IPMN) were identified. Histological subtypes consisted of 135 gastric (63.4%), 38 intestinal (17.8%), 38 pancreatobiliary (17.8%), and 2 oncocytic types (0.9%). Histological subtypes were associated with radiological type (P < 0.001), degree of dysplasia (P < 0.001), and T stage (P < 0.001). The proportions of invasive IPMN were 14.1%, 42.1%, 57.9%, and 100% of gastric, intestinal, pancreatobiliary, and oncocytic types, respectively. Disease-specific survival was not affected by histological subtype in overall patients (P = 0.881). For invasive IPMNs, histological subtypes had a marginal significance on survival (P = 0.050), which lost statistical significance after multivariate analysis (P = 0.341). CONCLUSIONS:Although histological subtypes are associated with the degree of dysplasia, histological subtypes have limited prognostic value for pancreatic IPMNs.

journal_name

Pancreas

journal_title

Pancreas

authors

Kang MJ,Lee KB,Jang JY,Han IW,Kim SW

doi

10.1097/MPA.0b013e31827cddbc

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

959-66

issue

6

eissn

0885-3177

issn

1536-4828

journal_volume

42

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • In vivo assessment of lipid peroxidation in experimental edematous and necrotizing rat pancreatitis.

    abstract::Lipid peroxidation, which may be involved in the pathogenesis of acute pancreatitis, is usually assessed in vitro or indirectly using antioxidants or free radical scavengers. We assessed lipid peroxidation in an in vivo model by measuring ethane exhalation in two models of acute pancreatitis. Edematous acute pancreati...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199705000-00004

    authors: Lévy P,Lettéron P,Paye F,Molas G,Guimont MC,Pessayre D,Bernades P,Rozé C

    更新日期:1997-05-01 00:00:00

  • Crosstalk Between Activated Myofibroblasts and β Cells in Injured Mouse Pancreas.

    abstract:OBJECTIVES:In injury conditions, myofibroblasts are induced to lay down matrix proteins and support the repair process. In this study, we investigated the role of myofibroblasts, particularly stellate cells, in the growth and regeneration of pancreatic β cells. METHODS:We used both in vitro and in vivo approaches to a...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000431

    authors: Bayan JA,Peng Z,Zeng N,He L,Chen J,Stiles BL

    更新日期:2015-10-01 00:00:00

  • Reduced pancreatic content of the inhibitory neurotransmitter galanin in genetically obese, hyperinsulinemic mice.

    abstract::Because abnormalities of the autonomic nervous system have been described in several animal models of obesity, and because galanin has been proposed to be a sympathetic neurotransmitter in the endocrine pancreas, we hypothesized that the hyperinsulinemia observed in genetically obese (ob/ob) mice may result either fro...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199203000-00016

    authors: Dunning BE,Ahrén B

    更新日期:1992-01-01 00:00:00

  • Comparison of gas clearance and radioactive microspheres for pancreatic blood flow measurement.

    abstract::Measurement of pancreatic blood flow (PBF) is technically demanding. Although radiolabeled microspheres are considered the "gold standard" for PBF assessment, they have practical limitations. In the current study, H2 and xenon-133 gas clearance techniques were adapted to PBF measurement and compared to radiolabeled mi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198904000-00004

    authors: DeMar AR,Graham LS,Lake R,Fink AS

    更新日期:1989-01-01 00:00:00

  • Alteration of integrins by interleukin-1alpha in human pancreatic cancer cells.

    abstract:INTRODUCTION:Adhesion of tumor cells to extracellular matrix (ECM) proteins plays an important role in tumor invasion and metastasis. AIMS:To investigate the expression of integrins in human pancreatic cancer cell lines and its alteration by interleukin (IL)-1alpha to examine the mechanism of adhesion of metastatic hu...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200111000-00011

    authors: Sawai H,Yamamoto M,Okada Y,Sato M,Akamo Y,Takeyama H,Manabe T

    更新日期:2001-11-01 00:00:00

  • Microvessel Density and Impact of Angiogenesis on Survival of Resected Pancreatic Cancer Patients: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVES:Angiogenesis plays a major role in tumor progression and metastasis; however, its role in pancreatic cancer (PC) remains unclear. The aim of the study was to explore the cumulative evidence concerning the impact of microvessel density (MVD), an estimator of angiogenesis, on resected PC patients. METHODS:A s...

    journal_title:Pancreas

    pub_type: 杂志文章,meta分析

    doi:10.1097/MPA.0000000000001237

    authors: Ntellas P,Dadouli K,Perivoliotis K,Sogka E,Pentheroudakis G,Ioannou M,Hadjichristodoulou C,Tepetes K,Mauri D

    更新日期:2019-02-01 00:00:00

  • Effects of a bradykinin receptor antagonist (HOE140) on taurocholate-induced acute pancreatitis in rats.

    abstract::The effect of a potent and long-acting bradykinin B2-receptor antagonist (HOE140) on acute pancreatitis induced by retrograde infusion of trypsin and taurocholate into the pancreatic duct was studied in rats. HOE140 was administered subcutaneously immediately before and 3 h after the induction of pancreatitis and the ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199610000-00011

    authors: Kanbe T,Naruse S,Kitagawa M,Nakae Y,Hayakawa T

    更新日期:1996-10-01 00:00:00

  • Enteral feeding without pancreatic stimulation.

    abstract:OBJECTIVE:All forms of commonly practiced enteral feeding techniques stimulate pancreatic secretion, and only intravenous feeding avoids it. In this study, we explored the possibility of more distal enteral infusions of tube feeds to see whether activation of the ileal brake mechanism can result in enteral feeding with...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000183374.11919.e5

    authors: Kaushik N,Pietraszewski M,Holst JJ,O'Keefe SJ

    更新日期:2005-11-01 00:00:00

  • In vivo and in vitro effects of adenosine-5'-O-(2-thiodiphosphate) on pancreatic hormones in dogs.

    abstract::Adenosine-5'-O-(2-thiodiphosphate) (ADP beta S), a P2y purinergic agonist, has been shown to be a potent insulin secretagogue on the isolated rat pancreas. In the present work the effects of ADP beta S on insulin somatostatin, and glucagon secretions were investigated in dogs. In vivo, in anesthetized fasted dogs, i.v...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Hillaire-Buys D,Gross R,Parés-Herbuté N,Ribes G,Loubatières-Mariani MM

    更新日期:1994-09-01 00:00:00

  • Enhanced Krev-1 expression inhibits the growth of pancreatic adenocarcinoma cells.

    abstract::Pancreatic ductal adenocarcinoma is characterized by a high rate of activating mutations involving codon 12 of the K-ras protooncogene. As a means of ras-targeted intervention, the effects of enhanced Krev-1 gene expression on the growth and tumorigenicity of the hamster pancreatic adenocarcinoma cell line PC-1 were e...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199805000-00006

    authors: Leach SD,Berger DH,Davidson BS,Curley SA,Tainsky MA

    更新日期:1998-05-01 00:00:00

  • Biphenotypic Differentiation of Pancreatic Cancer in 3-Dimensional Culture.

    abstract:OBJECTIVE:Pancreatic ductal adenocarcinoma (PDAC) is the third most common cause of cancer death in the United States. Improved characterized models of PDAC are needed for drug screening. METHODS:We grew 4 established pancreatic cancer cell lines in hanging drop cultures to produce spheroids. We also grew organoids fr...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001390

    authors: Matsushita Y,Smith B,Delannoy M,Trujillo MA,Chianchiano P,McMillan R,Kamiyama H,Liang H,Thompson ED,Hruban RH,Matsui W,Wood LD,Roberts NJ,Eshleman JR

    更新日期:2019-10-01 00:00:00

  • Quantitative Proteomic Analysis of Differentially Expressed Protein Profiles Involved in Pancreatic Ductal Adenocarcinoma.

    abstract:OBJECTIVES:The aim of this study was to identify differentially expressed proteins among various stages of pancreatic ductal adenocarcinoma (PDAC) by shotgun proteomics using nano-liquid chromatography coupled tandem mass spectrometry and stable isotope dimethyl labeling. METHODS:Differentially expressed proteins were...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000388

    authors: Kuo KK,Kuo CJ,Chiu CY,Liang SS,Huang CH,Chi SW,Tsai KB,Chen CY,Hsi E,Cheng KH,Chiou SH

    更新日期:2016-01-01 00:00:00

  • An endothelial nitric oxide synthase inhibitor aggravates CDL-induced acute pancreatitis in rats.

    abstract::To clarify the role of nitric oxide (NO) in the development and progression of acute pancreatitis, we investigated the effect of different NO synthase inhibitors and NO donors on experimental pancreatitis in rats. Closed duodenal loop (CDL)-induced pancreatitis was produced in male Wistar rats, and the animals were tr...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199911000-00011

    authors: Nishino T,Watanabe S,Oyama H,Fukuya Y,Hayashi N,Kobayashi M

    更新日期:1999-11-01 00:00:00

  • The activity of class I, II, III, and IV of alcohol dehydrogenase isoenzymes and aldehyde dehydrogenase in pancreatic cancer.

    abstract:OBJECTIVES:The pancreas can metabolize ethanol via oxidative pathway involving the enzymes alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) as well as the nonoxidative pathway. In this study, we compared the activity of ADH isoenzymes and ALDH in the pancreatic cancer with the activity in normal tissue. In...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318053eae2

    authors: Jelski W,Chrostek L,Szmitkowski M

    更新日期:2007-08-01 00:00:00

  • Pancreatic intraepithelial neoplasia in patients with intraductal papillary mucinous neoplasms: the interest of endoscopic ultrasonography.

    abstract:OBJECTIVES:Intraductal papillary mucinous neoplasms (IPMNs) and pancreatic intraepithelial neoplasia (PanIN) are both precancerous lesions. Papillary mucinous neoplasms have been described in patients with IPMN, but their relationship is still poorly understood. The aims of this study were to look for PanIN lesions in ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000437639.38383.41

    authors: Maire F,Couvelard A,Palazzo L,Aubert A,Vullierme MP,Rebours V,Hammel P,Sauvanet A,Levy P,Ruszniewski P

    更新日期:2013-11-01 00:00:00

  • Validation of the pretreatment neutrophil-lymphocyte ratio as a predictor of overall survival in a cohort of patients with pancreatic ductal adenocarcinoma.

    abstract:OBJECTIVES:The circulating neutrophil-lymphocyte ratio (NLR) has been shown to be a prognostic factor for a variety of tumors. In this study, we evaluated the prognostic significance of NLR in a large cohort of Chinese patients with pancreatic ductal adenocarcinomas (PDACs). METHODS:A total of 381 patients with PDAC w...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000271

    authors: Ben Q,An W,Wang L,Wang W,Yu L,Yuan Y

    更新日期:2015-04-01 00:00:00

  • Analysis of K-ras codon 12 point mutations using duodenal lavage fluid for diagnosis of pancreatic carcinoma.

    abstract::We evaluated the diagnostic significance of the K-ras point mutations at codon 12 in duodenal lavage fluid (DLF) compared with pure pancreatic juice (PPJ). The DLF was easily and safely collected by injecting distilled water into the duodenum and then aspirating through the working channel of the endoscope during endo...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199903000-00004

    authors: Nakamura Y,Onda M,Uchida E

    更新日期:1999-03-01 00:00:00

  • Nomogram for Estimating Overall Survival in Patients With Metastatic Pancreatic Cancer.

    abstract:OBJECTIVES:This analysis investigated nomogram use to evaluate metastatic pancreatic cancer prognosis. METHODS:Thirty-four baseline factors were examined in the Metastatic Pancreatic Adenocarcinoma Clinical Trial (MPACT) (nab-paclitaxel plus gemcitabine vs gemcitabine) data set. Factors significantly (P < 0.1) associa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001563

    authors: Goldstein D,Von Hoff DD,Chiorean EG,Reni M,Tabernero J,Ramanathan RK,Botteman M,Aly A,Margunato-Debay S,Lu B,Louis CU,McGovern D,Lee CK

    更新日期:2020-07-01 00:00:00

  • Diagnostic Performance of 48-Hour Fasting Test and Insulin Surrogates in Patients With Suspected Insulinoma.

    abstract:OBJECTIVES:This study aimed to evaluate the usefulness of the 48-hour fasting test and insulin surrogates followed by a glucagon stimulatory test (GST) for the diagnosis of insulinoma. METHODS:Thirty-five patients with suspected insulinoma who underwent 48-hour fasting test and GST were retrospectively included in our...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000772

    authors: Ueda K,Kawabe K,Lee L,Tachibana Y,Fujimori N,Igarashi H,Oda Y,Jensen RT,Takayanagi R,Ito T

    更新日期:2017-04-01 00:00:00

  • Computed Tomography Features Predictive of Lymph Node Involvement in Patients With a Nonfunctioning Pancreatic Neuroendocrine Tumor.

    abstract:OBJECTIVES:This study aims to identify the computed tomography (CT) features that may differentiate nonfunctioning pancreatic neuroendocrine tumors (NF-PanNETs) with lymph node (LN) metastasis from NF-PanNETs without lymph node metastasis. METHODS:We retrospectively analyzed 166 NF-PanNETs in 166 patients who had unde...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000888

    authors: Choi SH,Kim HJ,Kim SY,Byun JH,Kim KW,Song KB,Kim SC,Kim MH

    更新日期:2017-09-01 00:00:00

  • Immunohistochemical and molecular analysis of giant cell carcinoma of the pancreas: a report of three cases.

    abstract::We performed molecular biological studies as well as immunohistochemical analysis of three cases of giant cell carcinoma of the pancreas. Histologically, one case was a pleomorphic giant cell carcinoma consisting of pleomorphic giant/ small cells and spindle cells, one an osteoclast-like giant cell tumor composed of o...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199904000-00013

    authors: Imai Y,Morishita S,Ikeda Y,Toyoda M,Ashizawa T,Yamamoto K,Inoue T,Ishikawa T

    更新日期:1999-04-01 00:00:00

  • Elevated transcript levels from the MDM2 P1 promoter and low p53 transcript levels are associated with poor prognosis in human pancreatic ductal adenocarcinoma.

    abstract:UNLABELLED:OBJECTDIVES: Mouse double minute 2 is a key negative regulator of the p53 protein, a central node in the mediation of tumor suppression. The MDM2 gene contains 2 differently regulated promoters, MDM2-P1 and MDM2-P2, which differ strongly in their biological and clinical importance. METHODS:We assess the cli...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/mpa.0b013e3181f95104

    authors: Grochola LF,Taubert H,Greither T,Bhanot U,Udelnow A,Würl P

    更新日期:2011-03-01 00:00:00

  • Changes in growth and pancreatic mRNA concentrations during postnatal development of rat pancreas.

    abstract::Changes in pancreatic growth and in mRNA concentrations in rat pancreas were monitored by dot-blot hybridization with cloned cDNAs of rat amylase, chymotrypsinogen B, proinsulin I, and actin during the pre- and postnatal period in the rat. Wistar rats were killed at the 18th day of gestation and at the 1st, 10th, 20th...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199007000-00008

    authors: Iovanna JL,Dusetti N,Cadenas B,Calvo EL

    更新日期:1990-07-01 00:00:00

  • Immunoneutralization of circulating pancreatic polypeptide and pancreatic secretion.

    abstract::To determine the role of endogenous pancreatic polypeptide (PP) as a physiological inhibitor of pancreatic secretion, normal rabbit serum (control) or rabbit PP-antiserum was administered intravenously to dogs with chronic esophageal, gastric, and pancreatic fistulas. In all dogs tested, sham-feeding and ordinary feed...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198709000-00008

    authors: Konturek SJ,Bielański W,Kwiecień N,Konturek J,Czarnobilski K

    更新日期:1987-01-01 00:00:00

  • Pancreatic abscess caused by Corynebacterium coyleae mimicking malignant neoplasm.

    abstract::A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass. On admission, an elastic hard mass with tenderness was palpable in the epigastric region. Laboratory findings showed no abnormalities, except for a slightly elevated C-reactive protein value and iron def...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000236730.08747.69

    authors: Taguchi M,Nishikawa S,Matsuoka H,Narita R,Abe S,Fukuda K,Miyamoto H,Taniguchi H,Otsuki M

    更新日期:2006-11-01 00:00:00

  • Pancreatic cancer presenting with resolving pseudocyst during octreotide therapy.

    abstract::Pancreatic cancer presenting as acute pancreatitis is relatively uncommon. Pancreatic cancer should be included in the differential diagnosis of "idiopathic" acute pancreatitis, particularly in the elderly. The following case report describes a patient in whom pancreatic cancer presented as acute pancreatitis with pse...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199307000-00016

    authors: Nugent CE,Lehman GA,Madura JA,Kopecky K

    更新日期:1993-07-01 00:00:00

  • Effect of a new synthetic protease inhibitor on beta-endorphin release during acute pancreatitis in dogs.

    abstract::The effect on endogenous beta-endorphins of a new synthetic protease inhibitor was studied in acute pancreatitis. Pancreatitis was induced by the injection of autologous bile mixed with trypsin into the main pancreatic duct after ligation of the accessory duct. Plasma beta-endorphin concentrations and cardiovascular f...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199107000-00011

    authors: Satake K,Hiura A,Ha SS,Nishiwaki H,Umeyama K

    更新日期:1991-07-01 00:00:00

  • Long-term culture in matrigel enhances the insulin secretion of fetal porcine islet-like cell clusters in vitro.

    abstract::To study the influence of extracellular matrix (ECM) on isolated fetal porcine islet-like cell clusters (ICC), ICC were cultured either embedded in Matrigel (MG) or growth factor-reduced Matrigel (MG-GF), or in the absence of matrix for 20 days. The insulin accumulation in the culture medium was determined every fifth...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200103000-00008

    authors: Oberg-Welsh C

    更新日期:2001-03-01 00:00:00

  • Effects of hydrogen sulfide on rat pancreatic stellate cells.

    abstract:OBJECTIVES:Pancreatic stellate cells (PSCs) play a crucial role during pancreatic fibrosis development. Hydrogen sulfide (H2S) is a recently discovered gaseous transmitter, whose role in PSCs has not been explored yet. In the present study, we examined the effects of sodium hydrosulfide (NaHS), an H2S donor, on rat PSC...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318223645b

    authors: Schwer CI,Stoll P,Goebel U,Buerkle H,Hoetzel A,Schmidt R

    更新日期:2012-01-01 00:00:00

  • Energy metabolism in mouse pancreas in response to different dosages of a CCK analogue.

    abstract::Stimulation of the exocrine pancreas with cholecystokinin analogues leads to a variety of intraacinar processes, many coupled to energy consumption. It was hypothesized that extensive ATP depletion could play a role in the pathophysiology of acute pancreatitis, especially in the hyperstimulation (cerulein) model. Mice...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199508000-00005

    authors: Lüthen RE,Niederau C,Ferrell LD,Grendell JH

    更新日期:1995-08-01 00:00:00