Diagnostic Accuracy of Endoscopic Ultrasound-Guided Fine-Needle Aspiration Cytology, Carcinoembryonic Antigen, and Amylase in Intraductal Papillary Mucinous Neoplasm.

Abstract:

OBJECTIVES:The aim of this study was to determine the accuracy of cytology, carcinoembryonic antigen (CEA), and amylase levels in the preoperative diagnosis of intraductal papillary mucinous neoplasms (IPMNs). METHODS:An international registry was started in 2005 and included patients with clinically suspected IPMNs. Those who underwent surgery and had preoperative endoscopic ultrasonography fine-needle aspiration were selected for the study. RESULTS:One hundred eighty patients were included. Cytological analysis for neoplastic cells in IPMNs showed high specificity (87.8%) but low sensitivity (39.4%). The median CEA level was 525.5 ng/mL (n = 78) in IPMNs versus 9.7 ng/mL in nonmucinous cysts (n = 6), showing an area under the receiver operating characteristic curve (AUC) of 0.87. The optimal cutoff CEA value for distinguishing IPMN from nonmucinous cysts was 129 ng/mL. At this level, the sensitivity was 76.9%, and specificity was 83.3%, yielding a positive predictive value of 95.9% and a negative predictive value of 41.9%. Carcinoembryonic antigen was a poor predictor of neoplasia in IPMNs (AUC = 0.55). Amylase did not distinguish IPMNs from mucinous cystadenomas (MCAs) (median, 3759 U/L [n = 28 IPMNs] and 497 U/L [n = 3 MCAs], AUC = 0.65). CONCLUSIONS:Cytology has a limited role because of its lack of sensitivity. Carcinoembryonic antigen modestly differentiated between mucinous and nonmucinous lesions. Amylase did not distinguish IPMNs versus MCAs.

journal_name

Pancreas

journal_title

Pancreas

authors

Moris M,Raimondo M,Woodward TA,Skinner V,Arcidiacono PG,Petrone MC,De Angelis C,Manfrè S,Fusaroli P,Asbun H,Stauffer J,Wallace MB

doi

10.1097/MPA.0000000000000559

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

870-5

issue

6

eissn

0885-3177

issn

1536-4828

journal_volume

45

pub_type

杂志文章,多中心研究

相关文献

PANCREAS文献大全
  • 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 dysp...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31827cddbc

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

    更新日期:2013-08-01 00:00:00

  • Low serum levels of CD44, CD44v6, and neopterin indicate immune dysfunction in chronic pancreatitis.

    abstract:INTRODUCTION:In autoimmune diseases, malignancies, and inflammatory conditions, a correlation of serum levels of CD44, interleukin-2 receptor (IL-2r), and neopterin with disease activity could be shown. AIMS:To assess the immune parameters in chronic pancreatitis in correlation to clinical data to evaluate the potenti...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200111000-00001

    authors: Schlosser W,Gansauge F,Schlosser S,Gansauge S,Beger HG

    更新日期:2001-11-01 00:00:00

  • Chronic Asymptomatic Pancreatic Hyperenzymemia: A Long-term Follow-up.

    abstract:OBJECTIVES:Chronic asymptomatic pancreatic hyperenzymemia (CAPH) was described as a benign disease. However, we already described clinically relevant findings requiring surgery or follow-up in half of the subjects. The aim of this study was to evaluate the long-term outcome of CAPH in terms of symptoms and evolution to...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001272

    authors: Amodio A,De Marchi G,Granato A,de Pretis N,Gabbrielli A,Manfredi R,Pozzi Mucelli R,Frulloni L

    更新日期:2019-04-01 00:00:00

  • DU-PAN-2 levels in serum and pancreatic ductal fluids of patients with benign and malignant pancreatic disease.

    abstract::Previous studies have shown that the DU-PAN-2 antigen is elevated in approximately 70% of serum samples obtained from pancreatic adenocarcinoma patients, and within the normal range (less than 400 U/ml) in 99% of normal subjects. In this study, the DU-PAN-2 antigen level of the serum and pancreatic ductal fluid in pat...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198808000-00020

    authors: Mahvi DM,Seigler HF,Meyers WC,Kalthoff H,Schmiegel WH,Metzgar RS

    更新日期:1988-01-01 00:00:00

  • Is bile salt-dependent lipase concentration in serum of any help in pancreatic cancer diagnosis?

    abstract::The diagnostic value of bile salt-dependent lipase for pancreatic diseases was tested in sera of 187 patients. Of these patients, 76 suffered from pancreatic carcinoma, 43 from nonmalignant liver diseases (cirrhosis and chronic hepatitis), 18 from acute pancreatitis, and 20 from chronic pancreatitis. The remaining sub...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199309000-00009

    authors: Lombardo D,Montalto G,Roudani S,Mas E,Laugier R,Sbarra V,Abouakil N

    更新日期:1993-09-01 00:00:00

  • A systematic review of solid-pseudopapillary neoplasms: are these rare lesions?

    abstract:OBJECTIVE:The aim of the study was to determine if there had been any change in the number of solid-pseudopapillary neoplasm (SPN) cases detected and their evaluation or management over time. METHODS:A systematic review of SPN was performed of all articles published in English in PubMed and Scopus. RESULTS:A total of...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0000000000000061

    authors: Law JK,Ahmed A,Singh VK,Akshintala VS,Olson MT,Raman SP,Ali SZ,Fishman EK,Kamel I,Canto MI,Dal Molin M,Moran RA,Khashab MA,Ahuja N,Goggins M,Hruban RH,Wolfgang CL,Lennon AM

    更新日期:2014-04-01 00:00:00

  • Mitochondrial gene mutations in patients with insulin-dependent diabetes mellitus in Taiwan.

    abstract::We studied the prevalence of mitochondrial gene mutations in subjects with insulin-dependent diabetes mellitus (IDDM) in a Chinese population living in Taiwan. Eighty-four subjects with insulin-dependent diabetes mellitus and 105 unrelated normal controls were recruited in the present study. Both an A-to-G mutation at...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199604000-00006

    authors: Chuang LM,Wu HP,Tsai WY,Lai CS,Tai TY,Lin BJ

    更新日期:1996-04-01 00:00:00

  • Nonprevention of post-endoscopic retrograde cholangiopancreatographic pancreatitis by pancreatic stent after aspiration of pure pancreatic juice in patients with intraductal papillary mucinous neoplasms of the pancreas.

    abstract:OBJECTIVES:The objective of this study was to evaluate the efficacy of a pancreatic stent regarding the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis after aspiration of pure pancreatic juice in patients with intraductal papillary mucinous neoplasms. METHODS:A retrospective stud...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181bb8da1

    authors: Harada R,Kawamoto H,Fukatsu H,Kato H,Hirao K,Kurihara N,Mizuno O,Ogawa T,Ishida E,Okada H,Yamamoto K,Yamamoto H

    更新日期:2010-04-01 00:00:00

  • Highly selective inhibition of inducible nitric oxide synthase ameliorates experimental acute pancreatitis.

    abstract:OBJECTIVES:Inducible nitric oxide synthase (iNOS) activity is increased in experimental acute pancreatitis. The aim of this study was to evaluate treatment with the selective iNOS inhibitors AR-C (AR-C102222AA) and L-NIL (L-N6-(1-iminoethyl)-lysine) in experimental acute pancreatitis. METHODS:Acute pancreatitis was in...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Sandstrom P,Brooke-Smith ME,Thomas AC,Grivell MB,Saccone GT,Toouli J,Svanvik J

    更新日期:2005-01-01 00:00:00

  • Elevated Serum Pancreastatin Is an Indicator of Hepatic Metastasis in Patients With Small Bowel Neuroendocrine Tumors.

    abstract:OBJECTIVES:Serum pancreastatin is a sensitive and specific diagnostic biomarker in neuroendocrine tumors (NETs). Elevated pancreastatin levels are associated with worse progression-free survival and overall survival in small bowel and pancreatic NETs. In this study, we investigated the clinical significance of elevated...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000572

    authors: Khan TM,Garg M,Warner RR,Uhr JH,Divino CM

    更新日期:2016-08-01 00:00:00

  • Prevalence of Myocardial Infarction in Patients With Chronic Pancreatitis.

    abstract:OBJECTIVE:We conducted this study to ascertain whether chronic inflammation secondary to chronic pancreatitis (CP) has any association with myocardial infarction(MI). METHODS:Data were collected from a commercial database (Explorys, Inc, IBM Watson, Ohio). Adults with the diagnosis of "chronic pancreatitis," based on ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001721

    authors: Khan D,Abureesh M,Alkhayyat M,Sadiq W,Alshami M,Munir AB,Karam B,Deeb L,Lafferty J

    更新日期:2021-01-01 00:00:00

  • Expression of ATM protein and its relationship with p53 in pancreatic carcinoma with tissue array.

    abstract::ATM protein anticipates in the initiation of the DNA repair signal pathway and also mediates cell cycle arrest and repair. ATM deficiency predictably results in radiosensitivity, germ cell degeneration, chromosomal instability, immunodeficiency, and an extreme predisposition to tumors. Moreover, studies found that ATM...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200405000-00011

    authors: Yu G,Zhu MH,Zhu Z,Ni CR,Zheng JM,Li FM

    更新日期:2004-05-01 00:00:00

  • Malignant Solitary Fibrous Tumor of the Pancreas.

    abstract::Solitary fibrous tumor (SFT) arising in the pancreas is exceedingly rare, with only 11 cases reported in the English literature. All cases described thus far have exhibited benign histology. We report the first case of malignant SFT of the pancreas. The patient was a 52-year-old woman who presented with obstructive ja...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000350

    authors: Estrella JS,Wang H,Bhosale PR,Evans HL,Abraham SC

    更新日期:2015-08-01 00:00:00

  • Superoxide dismutase and nicotinamide adenine dinucleotide phosphate: quinone oxidoreductase polymorphisms and pancreatic cancer risk.

    abstract:OBJECTIVES:Pancreatic carcinoma etiology and molecular pathogenesis is weakly understood. According to the assumption that genetic variation in carcinogen metabolism further modifies the risk of exposure-related cancers, an association of functional polymorphisms in oxidative stress-modifying genes superoxide dismutase...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181f74ad7

    authors: Mohelnikova-Duchonova B,Marsakova L,Vrana D,Holcatova I,Ryska M,Smerhovsky Z,Slamova A,Schejbalova M,Soucek P

    更新日期:2011-01-01 00:00:00

  • Protein kinase C: a target for therapy in pancreatic cancer.

    abstract:OBJECTIVES:Protein kinase C (PKC) is involved in tumor growth and apoptosis and hence represents a potential target for cancer therapy. This study investigated the expression of PKC in pancreatic tumor tissue in comparison to adjacent normal tissue and determined the modulation of PKC by bryostatin-1 (BRYO) on pancreat...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31815ceaf7

    authors: El-Rayes BF,Ali S,Philip PA,Sarkar FH

    更新日期:2008-05-01 00:00:00

  • Mitochondrial transcription factor a worsens the clinical course of patients with pancreatic cancer through inhibition of apoptosis of cancer cells.

    abstract:OBJECTIVE:Mitochondrial transcription factor A (mtTFA) is mandatory for both the transcription and maintenance of mitochondrial DNA. This study aimed to investigate the significance of mtTFA expression in pancreatic ductal adenocarcinoma (PDAC). METHODS:Surgical specimens from 93 patients with PDAC who all underwent p...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000049

    authors: Yamauchi M,Nakayama Y,Minagawa N,Torigoe T,Shibao K,Yamaguchi K

    更新日期:2014-04-01 00:00:00

  • Analysis of the human pancreatic stellate cell secreted proteome.

    abstract:OBJECTIVE:Pancreatic stellate cells (PSCs) are important players in pancreatic fibrosis and are major contributors to the extracellular matrix proteins observed with the stromal response characteristic of pancreatic ductal adenocarcinoma (PDAC). Pancreatic stellate cells are also believed to secrete soluble factors tha...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318214efaf

    authors: Wehr AY,Furth EE,Sangar V,Blair IA,Yu KH

    更新日期:2011-05-01 00:00:00

  • The Research of Acellular Pancreatic Bioscaffold as a Natural 3-Dimensional Platform In Vitro.

    abstract:OBJECTIVE:The aim of the study was to investigate the biochemical and functional properties of a rat acellular pancreatic bioscaffolds (APBs). METHODS:Fresh pancreata from 10 rats were soaked and perfused through portal veins using Easy-Load Digital Drive peristaltic pumps. The histological structure, extracellular ma...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001123

    authors: Wang X,Li YG,Du Y,Zhu JY,Li Z

    更新日期:2018-09-01 00:00:00

  • Involvement of Nucleotide-Binding and Oligomerization Domain-Like Receptors in the Intestinal Injury of Severe Acute Pancreatitis in Rats.

    abstract:OBJECTIVES:The aim of the study was to observe the role of nucleotide-binding and oligomerization domain (NOD)-like receptors (NLR) in intestinal injury of severe acute pancreatitis (SAP) in rats. METHODS:Severe acute pancreatitis was induced by retrograde infusion of sodium taurocholate into the biliopancreatic duct....

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000977

    authors: Xu S,Wei S,Guo Y,Cui D,Yao J

    更新日期:2018-02-01 00:00:00

  • Successful Localization and Resection of Small Pancreatic Cystic Insulinoma Using Intraoperative Near-Infrared Fluorescence Imaging: A Case Report and Literature Review.

    abstract::Pancreatic cystic insulinoma is an uncommon tumor. Perioperative localization remained challenging if the tumor is atypical with cystic feature or in small size. Near-infrared (NIR) imaging is a technique by injecting fluorescent dye intravenously, which accumulates to the target lesion and creating signal by laser so...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001678

    authors: Kou HW,Yu MC,Chong SW,Hsu HY,Chou HH,Lee CW,Chen TC,Huang SF

    更新日期:2020-11-01 00:00:00

  • Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases.

    abstract:OBJECTIVE:We aimed to investigate preoperative findings that are useful to distinguish intraductal papillary-mucinous neoplasm (IPMN) subtypes. METHODS:One hundred twenty-three patients who underwent pancreatectomy for IPMN were analyzed clinicopathologically and radiologically. Invasive IPM carcinomas (IPMCs) were su...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318181b90d

    authors: Nara S,Onaya H,Hiraoka N,Shimada K,Sano T,Sakamoto Y,Esaki M,Kosuge T

    更新日期:2009-01-01 00:00:00

  • Heterogeneous cell renewal of pancreas in mice: [(3)H]-thymidine autoradiographic investigation.

    abstract:INTRODUCTION:Although cell kinetics of the gastrointestinal mucosa has been extensively examined, that of the pancreas has not been fully analyzed. AIM:To determine the renewal rate of pancreatic cells directly. METHODOLOGY:Postnatal proliferative activity and cellular renewal of the parenchymal cells in ICR mouse pa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200203000-00006

    authors: Magami Y,Azuma T,Inokuchi H,Moriyasu F,Kawai K,Hattori T

    更新日期:2002-03-01 00:00:00

  • Pharmacokinetic approach to the estimation of hepatic removal of insulin.

    abstract::We simultaneously measured hepatic insulin removal invasively and estimated hepatic clearance and extraction of insulin pharmacokinetically from cardiac output and peripheral plasma concentrations (relatively) noninvasively. The invasive methods involved continuous electromagnetic measurements of portal venous and hep...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198611000-00013

    authors: Berzins R,Tam YK,Molnar GD,Rajotte RV,Wieczorek KR,McGregor JR,Fawcett DM

    更新日期:1986-01-01 00:00:00

  • Acute pancreatitis: which patient is most at risk?

    abstract::This prospective study aimed to pinpoint acute pancreatic patients who are at a higher risk of clinical deterioration. Once identified, they can be given more costly intensive-care therapy or transferred promptly to hospitals with specialized equipment. Our study included 217 patients with acute pancreatitis. All of t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Lankisch PG,Pflichthofer D,Lehnick D

    更新日期:1999-11-01 00:00:00

  • The effects of 2-deoxy-D-glucose and alpha-difluoromethylornithine on the growth of pancreatic cancer in vivo.

    abstract::The glycolytic inhibitor, 2-deoxy-D-glucose (2-DG), inhibits growth of some cancers. alpha-Difluoromethylornithine (DFMO) is an irreversible inhibitor of ornithine decarboxylase, the rate-limiting enzyme in polyamine biosynthesis. We and others have previously shown that DFMO inhibits cancer growth in a number of mode...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198902000-00006

    authors: Saydjari R,Alexander RW,Barranco SC,Townsend CM Jr,Thompson JC

    更新日期:1989-01-01 00:00:00

  • Pancreatic acinar cells in adult human islets of Langerhans.

    abstract::Pancreatic acinar cells within the islets of Langerhans in human pancreas were investigated both histopathologically and electron microscopically. Acinar cells inside the islets of Langerhans were observed in all 50 adult cases investigated. Between such acinar cells and endocrine tissues, no reticular fiber was obser...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199409000-00004

    authors: Suda K,Hosokawa Y,Kuroda J,Yuminamochi T,Ishii Y,Nakazawa K

    更新日期:1994-09-01 00:00:00

  • Involvement of endogenous cholecystokinin in pancreatic regeneration after cerulein-induced acute pancreatitis.

    abstract::This study was undertaken to determine the involvement of endogenous cholecystokinin (CCK) in the regeneration of pancreatic tissue after cerulein-induced acute pancreatitis treated by the CCK receptor antagonist L364,718. Acute pancreatitis was induced in rats by s.c. injections of cerulein in gelatin (12 micrograms/...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199205000-00005

    authors: Jurkowska G,Grondin G,Morisset J

    更新日期:1992-01-01 00:00:00

  • Future Directions in the Treatment of Gastrointestinal and Pancreatic Neuroendocrine Tumors.

    abstract::Recently, the landscape of the diagnosis and treatment of patients with well-differentiated gastrointestinal/pancreatic neuroendocrine tumors (previously referred to as carcinoid tumors) has changed dramatically. We will need to work with all of the stakeholders including clinicians, patients, regulatory agencies, and...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000620

    authors: Asmis T

    更新日期:2016-07-01 00:00:00

  • Exocrine pancreatic insufficiency and chronic pancreatitis in chronic alcoholic liver disease: coincidence or shared toxicity?

    abstract:OBJECTIVES:The aims of this study were to determine the prevalence of exocrine pancreatic insufficiency (EPI) and chronic pancreatitis (CP) in patients with chronic alcoholic liver disease and to analyze the possible associated factors. METHODS:This is an analytical observational study of cases and controls for a samp...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000085

    authors: Aoufi Rabih S,García Agudo R,Legaz Huidobro ML,Ynfante Ferrús M,González Carro P,Pérez Roldán F,Ruiz Carrillo F,Tenías Burillo JM

    更新日期:2014-07-01 00:00:00

  • Tumor necrosis factor-related apoptosis-inducing ligand and its receptor expression and the pathway of apoptosis in human pancreatic cancer.

    abstract:METHODOLOGY:The authors performed the reverse transcription-polymerase chain reaction (RT-PCR) in 17 cases of pancreatic ductal cell carcinoma (PDC) and five cases of normal pancreatic tissues to determine the expression of tumor necrosis factor -related apoptosis-inducing factor (TRAIL) and its five receptors in PDC. ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200110000-00005

    authors: Satoh K,Kaneko K,Hirota M,Masamune A,Satoh A,Shimosegawa T

    更新日期:2001-10-01 00:00:00