Endoscopic Ultrasound-Based Pancreatic Cancer Screening of High-Risk Individuals: A Prospective Observational Trial.

Abstract:

OBJECTIVES:Pancreatic cancer (PC), a common cause of cancer death, is rarely diagnosed at an early stage. Early detection of PC may improve outcomes in affected patients. This study evaluated the utility of screening of high-risk individuals (HRIs) using an endoscopic ultrasound (EUS)-only approach to detect early malignant changes. METHODS:A prospective PC screening program for HRIs was opened in 2007. Fifty-eight patients have enrolled to date. Patients with normal EUS examinations underwent repeat EUS annually for 5 years. Patients with abnormal EUS underwent fine-needle aspiration (FNA) if a mass/cyst 1 cm or longer was found. Those with cysts/mass shorter than 1 cm or benign FNA underwent repeat EUS in 3 months. If unchanged, patients were followed with magnetic resonance imaging. RESULTS:Thirty-nine patients (67%) had initial normal EUS examinations, and 16 patients completed the 5-year trial. Five patients who initially had a normal EUS developed cysts on subsequent examinations. Of the 24 subjects (41%) with abnormal findings, 3 underwent FNA: 2 consistent with intraductal papillary mucinous neoplasm, 1 with benign cytology. The 21 remaining patients had 1 subcentimeter cyst or more followed by magnetic resonance imaging. No PCs have been detected. CONCLUSIONS:Precancerous cysts are frequently detected with EUS in HRI. Whether screening impacts survival in HRIs remains unclear and requires further evaluation in larger multicenter trials.

journal_name

Pancreas

journal_title

Pancreas

authors

Gangi A,Malafa M,Klapman J

doi

10.1097/MPA.0000000000001038

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

586-591

issue

5

eissn

0885-3177

issn

1536-4828

journal_volume

47

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Differential expression of STAT1 and p21 proteins predicts pancreatic cancer progression and prognosis.

    abstract:OBJECTIVE:The transcription factor Stat1 is a member of the family of signal transducers and transcription activators and responds to interferon-γ stimulation. p21 is a p53-responsive gene for cell cycle regulation and mediates Stat1 antitumor activity. The aim of this study was to analyze their expression for predicti...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000074

    authors: Sun Y,Yang S,Sun N,Chen J

    更新日期:2014-05-01 00:00:00

  • Clinical profile of autoimmune pancreatitis and its histological subtypes: an international multicenter survey.

    abstract:OBJECTIVE:The objective of this study was to clarify the clinical and pathophysiological characteristics of autoimmune pancreatitis (AIP) and its subtypes (lymphoplasmacytic sclerosing pancreatitis [LPSP] and idiopathic duct-centric pancreatitis [IDCP]) seen around the world. METHODS:An international multicenter surve...

    journal_title:Pancreas

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MPA.0b013e3182258a15

    authors: Kamisawa T,Chari ST,Giday SA,Kim MH,Chung JB,Lee KT,Werner J,Bergmann F,Lerch MM,Mayerle J,Pickartz T,Lohr M,Schneider A,Frulloni L,Webster GJ,Reddy DN,Liao WC,Wang HP,Okazaki K,Shimosegawa T,Kloeppel G,Go VL

    更新日期:2011-08-01 00:00:00

  • Suppression of human pancreatic carcinoma cell growth and invasion by epigallocatechin-3-gallate.

    abstract:INTRODUCTION:The consumption of green tea is associated with a lower risk of several types of human carcinomas. A number of studies have focused on the possible mechanisms of cancer prevention by tea extracts, especially polyphenols such as epigallocatechin-3-gallate (EGCG). AIMS AND METHODOLOGY:Green tea-derived EGCG...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200207000-00012

    authors: Takada M,Nakamura Y,Koizumi T,Toyama H,Kamigaki T,Suzuki Y,Takeyama Y,Kuroda Y

    更新日期:2002-07-01 00:00:00

  • Development and Diagnostic Accuracy of a Breath Test for Pancreatic Exocrine Insufficiency in Chronic Pancreatitis.

    abstract:OBJECTIVE:To develop a ¹³C-labeled substrate breath test by defining the optimal ¹³C-labeled substrate, substrate dose, test meal, and duration of the test and evaluating its accuracy for the diagnosis of pancreatic exocrine insufficiency (PEI) in chronic pancreatitis (CP). METHODS:Five consecutive prospective compara...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000434

    authors: Domínguez-Muñoz JE,Nieto L,Vilariño M,Lourido MV,Iglesias-García J

    更新日期:2016-02-01 00:00:00

  • Long-term function of islets encapsulated in a redesigned alginate microcapsule construct in omentum pouches of immune-competent diabetic rats.

    abstract:OBJECTIVE:Our study aim was to determine encapsulated islet graft viability in an omentum pouch and the effect of fibroblast growth factor 1 (FGF-1) released from our redesigned alginate microcapsules on the function of the graft. METHODS:Isolated rat islets were encapsulated in an inner core made with 1.5% low-viscos...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000107

    authors: Pareta R,McQuilling JP,Sittadjody S,Jenkins R,Bowden S,Orlando G,Farney AC,Brey EM,Opara EC

    更新日期:2014-05-01 00:00:00

  • c-met expression in pancreatic cancer and effects of hepatocyte growth factor on pancreatic cancer cell growth.

    abstract::Hepatocyte growth factor (HGF) is a widely expressed growth factor secreted by cells of mesenchymal origin, which has been shown to be involved in growth processes of multiple cell types. The HGF receptor, the product of the c-met protooncogene, is expressed mainly by epithelial cells. Increased expression of the HGF ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199707000-00005

    authors: Kiehne K,Herzig KH,Fölsch UR

    更新日期:1997-07-01 00:00:00

  • Different Clinical Characteristics Between Distal Cholangiocarcinoma and Pancreatic Head Carcinoma With Biliary Obstruction.

    abstract:OBJECTIVES:The aim of this study was to compare the perioperative clinical characteristics between patients with distal cholangiocarcinoma (DCC) and pancreatic head carcinoma (PHC) with biliary obstruction. METHODS:This study included patients who underwent pancreatoduodenectomy and were diagnosed with DCC (n = 85) or...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000942

    authors: Yokoyama Y,Ebata T,Igami T,Sugawara G,Mizuno T,Yamaguchi J,Nagino M

    更新日期:2017-11-01 00:00:00

  • The biological relevance of N-terminal neurotensin fragments in the regulation of exocrine pancreas secretion.

    abstract::Stimulation of the exocrine pancreas is one of the biological effects attributed to the tridecapeptide neurotensin (NT). Only the C-terminal 8-13 fragment with its extremely short plasma half-life in the peripheral circulation was considered to be necessary for biological activity. The N-terminal fragments that are de...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198902000-00018

    authors: Nustede R,Köhler H,Pfannkuche A,Fölsch UR,Schafmayer A

    更新日期:1989-01-01 00:00:00

  • Immunological Gene Signature Associated With the Tumor Microenvironment of Pancreatic Cancer After Neoadjuvant Chemotherapy.

    abstract:OBJECTIVES:Neoadjuvant chemotherapy (NAC) has improved overall survival in patients with pancreatic ductal adenocarcinoma (PDAC), but its effects on immune gene signatures are unknown. Here, we examined the immune transcriptome after NAC for PDAC. METHODS:Resected tumor specimens were obtained from 140 patients with P...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001665

    authors: Hane Y,Tsuchikawa T,Nakamura T,Hatanaka KC,Saito T,Tanaka K,Nakanishi Y,Asano T,Noji T,Okamura K,Shichinohe T,Yokota I,Hatanaka Y,Hirano S

    更新日期:2020-10-01 00:00:00

  • Serum deprivation induces glucose response and intercellular coupling in human pancreatic adenocarcinoma PANC-1 cells.

    abstract:OBJECTIVE:This study aimed to investigate whether the previously described differentiating islet-like aggregates of human pancreatic adenocarcinoma cells (PANC-1) develop glucose response and exhibit intercellular communication. METHODS:Fura 2-loaded PANC-1 cells in serum-free medium were assayed for changes in cytoso...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182277e56

    authors: Hiram-Bab S,Shapira Y,Gershengorn MC,Oron Y

    更新日期:2012-03-01 00:00:00

  • Peptide YY inhibits nutrient-, hormonal-, and vagally-stimulated pancreatic exocrine secretion.

    abstract::Peptide YY (PYY) is a recently isolated gut peptide that is found primarily in the mucosal endocrine cells of the terminal ileum, colon, and rectum of several mammalian species, including humans. The purpose of this study was to characterize the effect of PYY on pancreatic exocrine secretion in six conscious dogs prep...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198707000-00013

    authors: Lluis F,Gomez G,Fujimura M,Greeley GH Jr,Thompson JC

    更新日期:1987-01-01 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

  • Secretion of protein, fluid, and immunoreactive somatostatin in rat pure pancreatic juice: adaptation to chronic cerulein and secretin treatment.

    abstract::These studies were undertaken to assess the effects of chronic administration of cerulein plus secretin, every 8 h for 10 days on fluid, protein, and somatostatin-like immunoreactivity (SLI) outputs in rat pancreatic juice. Pancreatic secretion was studied with conscious, cannulated rats, during infusion of precollect...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198808000-00002

    authors: Sarfati P,Green GM,Morisset J

    更新日期:1988-01-01 00:00:00

  • Effects of gadolinium chloride and glycine on hepatic and pancreatic tissue damage in alcoholic pancreatitis.

    abstract:OBJECTIVE:Systemic complications in alcoholic pancreatitis are supposed to be aggravated by inflammatory liver damage. Resident macrophages including hepatic Kupffer cells play a pivotal role in mediating systemic complications in severe necrotizing pancreatitis (SNP). The aim of this study was to evaluate the effects ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181bd6470

    authors: Schneider L,Hackert T,Longerich T,Hartwig W,Fritz S,Krych R,Fortunato F,Gebhard MM,Werner J

    更新日期:2010-05-01 00:00:00

  • Hormonal and reproductive factors and pancreatic cancer risk: a prospective cohort study.

    abstract:OBJECTIVES:We examined pancreatic cancer risk in association with hormonal and reproductive factors in a prospective cohort study of 89,835 Canadian women, aged 40-59 at recruitment, who were enrolled in the National Breast Screening Study (NBSS). METHODS:Linkages to national cancer and mortality databases yielded dat...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000160301.59319.ba

    authors: Navarro Silvera SA,Miller AB,Rohan TE

    更新日期:2005-05-01 00:00:00

  • Racial Differences in Gastroenteropancreatic Neuroendocrine Tumor Treatment and Survival in the United States.

    abstract:OBJECTIVES:The objective of this study was to evaluate racial differences in cancer treatment and survival in gastroenteropancreatic neuroendocrine tumor (GEP-NET) patients. METHODS:Using the Surveillance, Epidemiology, and End Results Registry, we identified patients with GEP-NETs of the stomach, small intestine (SI)...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001707

    authors: Kessel E,Naparst M,Alpert N,Diaz K,Ahn E,Wolin E,Taioli E,Kim MK

    更新日期:2021-01-01 00:00:00

  • Pancreatopleural fistula.

    abstract::The clinical, diagnostic, and therapeutic aspects of 27 patients with pancreatopleural fistula (PPF) reported in the literature, and two additional patients managed by the authors, form the basis of this report. The diagnosis of PPF is based on the triad of massive pleural effusions, elevated pleural fluid amylase, an...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198605000-00013

    authors: Bedingfield JA,Anderson MC

    更新日期:1986-01-01 00:00:00

  • Issues in clinical islet transplantation.

    abstract::The Second International Islet Transplantation Symposium was held at UCLA in January, 1993. The symposium, sponsored by the Jerry's Foundation for Diabetes Research was focused on the issues in clinical islet transplantation. The leaders from each of the clinically active programs around the world were invited to disc...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-199405000-00001

    authors: Brunicardi FC,Mullen Y

    更新日期:1994-05-01 00:00:00

  • Prior History of Pancreatitis Accelerates the Development of Pancreatic Adenocarcinoma.

    abstract:OBJECTIVES:Presentation of pancreatic adenocarcinoma (PC) as acute pancreatitis (AP), association of chronic pancreatitis (CP) with PC, and role of inflammation in PC carcinogenesis are well recognized. We hypothesized that inflammatory changes associated with remote history of AP (≥2 years before PC diagnosis) would r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001160

    authors: Phillips AE,Shah N,Borhani AA,Yadav D,Brand RE

    更新日期:2018-11-01 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

  • Percutaneous embolization of the distal pancreatic duct to treat intractable pancreatic juice fistula.

    abstract::Pseudocysts and post-necrotic collections of the pancreas are sometimes treated by percutaneous drainage. In cases of post-necrotic collection, intractable pancreatic juice fistula is often formed by disruption of the main pancreatic duct in the necrotized region. We radically treated intractable pancreatic juice fist...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200103000-00018

    authors: Hirota M,Kamekawa K,Tashima T,Mizumoto M,Ohara C,Beppu T,Shimada S,Yamaguchi Y,Ogawa M

    更新日期:2001-03-01 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

  • Postoperative pancreatic fistula in distal pancreatectomy: experience from 1 institution.

    abstract:OBJECTIVE:Postoperative pancreatic fistula (POPF) and readmission remain the significant sources of morbidity after distal pancreatectomy (DP). We describe a technique of drainage and postoperation management to prevent severe POPF and readmission. METHODS:A retrospective analysis of 57 patients who underwent DP from ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000072

    authors: Wang H,Xiu D,Jiang B,Ma C,Yuan C

    更新日期:2014-05-01 00:00:00

  • Prognostic significance of DNA ploidy in pancreatic carcinoma.

    abstract::The nuclear DNA content was assessed by image cytometry on cytologic specimens obtained with fine-needle aspiration biopsy in 96 patients with pancreatic duct carcinoma. Twenty-two of these patients had pancreaticoduodenal resection. According to DNA analysis there were 27 (28%) diploid, 17 (18%) tetraploid, and 52 (5...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199411000-00016

    authors: Linder S,Falkmer U,Hagmar T,Blåsjö M,Sundelin P,von Rosen A

    更新日期:1994-11-01 00:00:00

  • Regional Metastatic Behavior of Nonfunctional Pancreatic Neuroendocrine Tumors: Impact of Lymph Node Positivity on Survival.

    abstract:OBJECTIVES:Literature addressing the significance of lymph node positivity in the management of nonfunctional pancreatic neuroendocrine tumors (PNETs) is conflicting. METHODS:The National Cancer Data Base was queried for patients who underwent surgical resection of nonfunctional PNETs between 1998 and 2011. Clinical d...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000861

    authors: Jutric Z,Grendar J,Hoen HM,Cho SW,Cassera MA,Newell PH,Hammill CW,Hansen PD,Wolf RF

    更新日期:2017-08-01 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

  • Pharmacological cholinergic stimulation as a therapeutic tool in experimental necrotizing pancreatitis.

    abstract:OBJECTIVES:The endogenous immune response is influenced by the stimulation of the vagal nerve. Stimulation or ablation has a direct impact on the release of pro- and anti-inflammatory mediators. In the progression of acute pancreatitis from local to systemic disease, these mediators play a pivotal role. This study eval...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182a85c21

    authors: Schneider L,Jabrailova B,Soliman H,Hofer S,Strobel O,Hackert T,Büchler MW,Werner J

    更新日期:2014-01-01 00:00:00

  • Regeneration of tubular complex is promoted by a free space.

    abstract:OBJECTIVES:Regeneration of the pancreas is initiated by the tubular complexes that consist of a cluster of epithelia surrounded by the mesenchymal cells. They have the potential to become pancreatic lobes, but their growth stops before the complete regeneration of the organ. To elucidate the possibility that we could p...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000150110.45017.fc

    authors: Kitamura T,Asanuma N,Inaba M,Otsuki M,Kasayama S,Kouhara H,Kawase I

    更新日期:2005-03-01 00:00:00

  • Reduced expression of PDX-1 is associated with decreased beta cell function in chronic pancreatitis.

    abstract:OBJECTIVES:The present study was conducted to monitor the expression of pancreas and duodenal homeobox gene (PDX-1) for assessing beta-cell function in islets from patients with chronic pancreatitis (CP). METHODS:Islets isolated from the pancreata of 40 surgical patients categorized as control group, patients with mil...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181d6bc69

    authors: Mitnala S,Pondugala PK,Guduru VR,Rabella P,Thiyyari J,Chivukula S,Boddupalli S,Hardikar AA,Reddy DN

    更新日期:2010-08-01 00:00:00

  • Predictors of Recurrence and Survival in Patients With Surgically Resected Pancreatic Neuroendocrine Tumors.

    abstract:OBJECTIVE:Given the lack of consensus on surveillance guidelines after pancreatic neuroendocrine tumor (PanNET) resection, we assessed outcomes in a large cohort of patients with nonmetastatic, surgically resected PanNETs. METHODS:Data of patients with PanNETs resected between 1990 and 2017 were retrospectively collec...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001477

    authors: Rosenblum RE,Harris CK,Baeg KJ,Starr JA,Brais LK,Stashek KM,Ward SC,Katona BW,Clancy TE,Wisnivesky JP,Kulke MH,Metz DC,Kim MK,Chan JA

    更新日期:2020-02-01 00:00:00