Evaluation of Pathologic Response on Overall Survival After Neoadjuvant Therapy in Pancreatic Ductal Adenocarcinoma.

Abstract:

OBJECTIVES:Single-institution studies have shown improved outcomes among patients with a pathologic complete response (pCR) following neoadjuvant therapy. We sought to evaluate the impact of pCR and near-complete response (nCR) on overall survival (OS) using a large national database. METHODS:The National Cancer Database was queried for patients given a diagnosis of pancreatic cancer from 2004 to 2014. A pCR was defined as no tumor identified in the pancreas after surgical resection. An nCR was defined as a primary tumor less than 1 cm without lymph node metastases. The primary outcome was OS. RESULTS:A total of 5364 patients underwent neoadjuvant chemotherapy and/or radiation followed by pancreatectomy. Forty-one patients (0.8%) had a pCR, 54 (1%) had an nCR, and the remaining 5266 (98.2%) had an otherwise incomplete response. Patients with pCR had a median OS of 43 months compared with 24 months for nCR and 23 months for incomplete response (P < 0.0001). Only pCR was associated with improved OS on adjusted Cox regression. CONCLUSIONS:For patients given a diagnosis of pancreatic cancer who underwent neoadjuvant treatment and surgical resection, achieving a pCR was associated with improved OS compared with those with residual tumor. An association between nCR and improved survival was not observed.

journal_name

Pancreas

journal_title

Pancreas

authors

Sell NM,Lee GC,Fernández-Del Castillo C,Ferrone CR,Warshaw AL,Hong TS,Blaszkowsky LS,Lillemoe KD,Qadan M

doi

10.1097/MPA.0000000000001590

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

897-903

issue

7

eissn

0885-3177

issn

1536-4828

journal_volume

49

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Defatted bovine colostrum-supplemented diet around weaning improves exocrine pancreatic secretion by means of volume, digestive enzymes, and antibacterial activity.

    abstract:OBJECTIVES:Exocrine pancreatic secretion contributes to limit pathogenic bacteria-associated diarrhea. Bovine colostrum, used in the treatment of diarrhea, reduces symptoms originating from gut pathogenic bacteria overgrowth. We hypothesized that bovine colostrum may stimulate the exocrine pancreatic secretion. METHOD...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318192eb83

    authors: Huguet A,Savary G,Bobillier E,Le Huërou-Luron I

    更新日期:2009-04-01 00:00:00

  • Galanin in the regulation of pancreatic vascular perfusion.

    abstract:OBJECTIVES:Acute pancreatitis is associated with compromised pancreatic microcirculation. Galanin is a vasoactive neuropeptide, but its role in the regulation of pancreatic vascular perfusion (PVP) is unclear. METHODS:Localization of galanin immunoreactivity was investigated by immunohistochemistry, and the effects of...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31815ac561

    authors: Brooke-Smith ME,Carati CJ,Bhandari M,Toouli J,Saccone GT

    更新日期:2008-04-01 00:00:00

  • Cyst fluid carcinoembryonic antigen is an accurate diagnostic marker of pancreatic mucinous cysts.

    abstract:OBJECTIVES:Endoscopic ultrasound (EUS) may offer a diagnostic tool through the combination of imaging and guided fine-needle aspiration of pancreatic cysts. The purpose of this investigation was to determine the most accurate test for differentiating mucinous from nonmucinous cysts. METHODS:The results of EUS imaging,...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31821bd62f

    authors: Cizginer S,Turner BG,Bilge AR,Karaca C,Pitman MB,Brugge WR

    更新日期:2011-10-01 00:00:00

  • Inhibitory effect of islet amyloid polypeptide of glucose-induced proinsulin biosynthesis in rat insulinoma cells.

    abstract::Islet amyloid polypeptide (IAPP) has been recently identified as the principal constituent of amyloid deposits in pancreatic islets of patients with type 2 (non-insulin-dependent) diabetes mellitus and causes insulin resistance in some target cells. In addition, glucose-induced insulin secretion is inhibited by IAPP. ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199207000-00009

    authors: Chuang LM,Wu HP,Jou TS,Tai TY,Lin BJ

    更新日期:1992-01-01 00:00:00

  • Identification and characterization of muscarinic receptors in cultured human pancreatic carcinoma cells.

    abstract::Five human pancreatic carcinoma cell lines were screened for the presence of muscarinic cholinergic receptors (mAChRs), using [3H]N-methylscopolamine ([3H]NMS). T3M4 and COLO-357 cells exhibited specific, high-affinity binding to mAChRs. A small amount of [3H]NMS also bound in PANCI and ASPC-I cells, but not in MIA Pa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198906000-00014

    authors: Ackerman MS,Roeske WR,Heck RJ,Korc M

    更新日期:1989-01-01 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

  • 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

  • Human SMG-1 is involved in gemcitabine-induced primary microRNA-155/BIC up-regulation in human pancreatic cancer PANC-1 cells.

    abstract:OBJECTIVES:Human primary microRNA-155/B-cell integration cluster (BIC) transcript is the precursor of microRNA-155. The overexpression of them has been widely observed in the progression of various types of tumors. Our objective was to investigate the effect of anticancer agents on the expression of BIC and possible si...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181e89f74

    authors: Xia QS,Ishigaki Y,Zhao X,Shimasaki T,Nakajima H,Nakagawa H,Takegami T,Chen ZH,Motoo Y

    更新日期:2011-01-01 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

  • Pain and opioid use in chronic pancreatitis.

    abstract:OBJECTIVE:Opioid therapy for pain in chronic pancreatitis (CP) is associated with tolerance and possibly opioid-induced hyperalgesia. We thus examined opioid use and pain rating in CP patients. METHODS:Medical records of patients with established CP treated at the University of Pittsburgh Medical Center's Digestive Di...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318224056f

    authors: Nusrat S,Yadav D,Bielefeldt K

    更新日期:2012-03-01 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

  • Increasing incidence of acute pancreatitis at an American pediatric tertiary care center: is greater awareness among physicians responsible?

    abstract:OBJECTIVES:Studies show an increased incidence of adult acute pancreatitis (AP) in recent decades. The aim was to review pediatric AP incidence. METHODS:Retrospective review of computerized databases at the Children's Hospital of Pittsburgh from 1993 to 2004. The International Classification of Diseases, Ninth Revisio...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181baac47

    authors: Morinville VD,Barmada MM,Lowe ME

    更新日期:2010-01-01 00:00:00

  • Overexpression of p53 Improves Blood Glucose Control in an Insulin Resistant Diabetic Mouse Model.

    abstract:OBJECTIVE:This paper aimed to assess the physiological effects of p53 on glucose homeostasis in vivo. METHODS:A recombinant adenoviral p53 (rAd-p53) vector was administered to insulin-resistant diabetic mice. Intraperitoneal glucose tolerance test was performed in all groups of mice. Changes in fasting blood glucose, ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000637

    authors: Zhang X,Duan W,Lee WN,Zhang Y,Xiang F,Liu Q,Go VL,Xiao GG

    更新日期:2016-08-01 00:00:00

  • Involvement of lipid peroxidation in free fatty acid-induced isolated rat pancreatic acinar cell injury.

    abstract::It was reported that free fatty acids degraded from triglycerides by lipase may play a major role in acute necrotizing or hyperlipidemia-induced pancreatitis. We hypothesized that this injury may be related to the peroxidation of cell membrane phospholipids and tested this hypothesis using isolated pancreatic acini. P...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199811000-00009

    authors: Morita Y,Yoshikawa T,Takeda S,Matsuyama K,Takahashi S,Yoshida N,Clemens MG,Kondo M

    更新日期:1998-11-01 00:00:00

  • Standard Operating Procedures for Biospecimen Collection, Processing, and Storage: From the Consortium for the Study of Chronic Pancreatitis, Diabetes, and Pancreatic Cancer.

    abstract::High-quality and well-annotated biorepositories are needed to better understand the pathophysiology and biologic mechanisms of chronic pancreatitis (CP) and its consequences. We report a methodology for the development of a robust standard operating procedure (SOP) for a biorepository based on the experience of the cl...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001171

    authors: Fisher WE,Cruz-Monserrate Z,McElhany AL,Lesinski GB,Hart PA,Ghosh R,Van Buren G,Fishman DS,Rinaudo JAS,Serrano J,Srivastava S,Mace T,Topazian M,Feng Z,Yadav D,Pandol SJ,Hughes SJ,Liu RY,Lu E,Orr R,Whitcomb DC,Ab

    更新日期:2018-11-01 00:00:00

  • Evaluation of pancreatic exocrine function by secretin-enhanced magnetic resonance cholangiopancreatography.

    abstract:AIM:To assess the feasibility and usefulness of secretin-enhanced magnetic resonance cholangiopancreatography (S-MRCP) for evaluation of pancreatic exocrine function. METHODOLOGY:S-MRCP was performed in 20 patients with mild (n = 8) or severe (n = 12) chronic pancreatitis (according to the grade of exocrine pancreatic...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200110000-00015

    authors: Czakó L,Endes J,Takács T,Boda K,Lonovics J

    更新日期:2001-10-01 00:00:00

  • Management of a malignant case of solid pseudopapillary tumor of pancreas: a case report and literature review.

    abstract::Solid pseudopapillary tumor of the pancreas is a rare neoplasm with low malignant potential, which affects predominantly young females. Only approximately 10% to 15% cases of solid pseudopapillary tumors (SPTs) are malignant. We present the case of a 57-year-old woman who developed malignant SPT of the pancreas. Meanw...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0b013e31824d52c7

    authors: Ji S,Xu J,Zhang B,Xu Y,Liu C,Long J,Ni Q,Yu X

    更新日期:2012-11-01 00:00:00

  • Tumor angiogenesis in chronic pancreatitis and pancreatic adenocarcinoma: impact of K-ras mutations.

    abstract::Chronic pancreatitis (CP) is one condition in which epidemiologic studies have demonstrated a definite association with pancreatic adenocarcinoma (PAC). The pathophysiologic and molecular events that either predispose to the development of, or potentiate the growth of, PAC are unknown. Mutation of the codon 12 K-ras g...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200004000-00005

    authors: Banerjee SK,Zoubine MN,Mullick M,Weston AP,Cherian R,Campbell DR

    更新日期:2000-04-01 00:00:00

  • Examination of external validity in randomized controlled trials for adjuvant treatment of pancreatic adenocarcinoma.

    abstract:OBJECTIVES:Clinical trials are a prerequisite for evidence-based medicine. Trial representativity by internal and external validities is an assumption for a transfer into the real world. METHODS:A questionnaire addressing several forms of bias was established. Randomized controlled trials for adjuvant treatment of pan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31819d7370

    authors: Sorg C,Schmidt J,Büchler MW,Edler L,Märten A

    更新日期:2009-07-01 00:00:00

  • Papillary cystic tumor of the pancreas: a case indistinguishable from oncocytic carcinoma.

    abstract::A case of papillary cystic tumor (PCT) of the pancreas in a 55-year-old woman is described. She presented with a gradually enlarging and painless abdominal mass for > 26 years. The tumor was encapsulated and measured 16 x 12 x 10 cm. The gross features and conventional light microscopic appearance of this tumor were c...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199301000-00023

    authors: Lee WY,Tzeng CC,Jin YT,Chow NH,Yip CM,Lee JC

    更新日期:1993-01-01 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

  • Early hemodynamic variables and outcome in severe acute pancreatitis: a retrospective single-center cohort study.

    abstract:OBJECTIVES:The aim of this study was to assess the association of hemodynamic factors with 90-day mortality in critically ill patients with severe acute pancreatitis (SAP). METHODS:One hundred fifty-nine consecutive patients with SAP admitted to the intensive care units between January 2005 and December 2008 were incl...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318264c9f7

    authors: Wilkman E,Kaukonen KM,Pettilä V,Kuitunen A,Varpula M

    更新日期:2013-03-01 00:00:00

  • Understanding the Pathophysiology of Psychological Distress and Pancreatic Cancer: A Systematic Review.

    abstract:BACKGROUND:Psychological distress is highly prevalent in patients with pancreatic cancer (PC), yet little is known about the pathophysiology underlying the relationship between these 2 diseases. Our aim was to systematically review the evidence examining the pathophysiological mechanisms of the association between PC a...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0000000000001016

    authors: Bettison TM,Nahm CB,Gill AJ,Mittal A,Malhi GS,Samra JS

    更新日期:2018-04-01 00:00:00

  • Potentially fatal bleeding in acute pancreatitis: pathophysiology, prevention, and treatment.

    abstract:INTRODUCTION:Massive bleeding may complicate the course of either acute or chronic pancreatitis. Although the latter is more frequently involved when bleeding occurs in the acute form, a poorer prognosis is to be expected. Abscess, severe inflammation, regional necrosis, and pseudocysts may cause major vessel erosion, ...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-200301000-00002

    authors: Flati G,Andrén-Sandberg A,La Pinta M,Porowska B,Carboni M

    更新日期:2003-01-01 00:00:00

  • Staplers in palliative bypass surgery for unresectable pancreatic cancer.

    abstract::To assess the role of stapling devices and routine gastroenterostomy in palliative bypass surgery, the hospital records of 150 consecutive patients with unresectable, histologically proven pancreatic adenocarcinoma requiring palliative bypass procedure were reviewed. During recent years staplers have gained increasing...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198703000-00004

    authors: Kairaluoma MI,Kiviniemi H,Laitinen S,Ståhlberg M

    更新日期:1987-01-01 00:00:00

  • Decreased total lymphocyte counts in pancreatic cancer: an index of adverse outcome.

    abstract:OBJECTIVES:An impaired host immunity might concur in determining the dismal prognosis of patients with pancreatic cancer (PC). Our aim was to ascertain whether the immunophenotype pattern of blood lymphocytes in PC correlates with tumor stage, grade, or survival. METHODS:We studied 115 patients with PC, 44 with chroni...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000188305.90290.50

    authors: Fogar P,Sperti C,Basso D,Sanzari MC,Greco E,Davoli C,Navaglia F,Zambon CF,Pasquali C,Venza E,Pedrazzoli S,Plebani M

    更新日期:2006-01-01 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

  • The effects of dipeptidyl-peptidase-IV inhibitor, vildagliptin, on the exocrine pancreas in spontaneously diabetic Goto-Kakizaki rats.

    abstract:OBJECTIVES:The risk of adverse effects of dipeptidyl peptidase-4 inhibitors on the exocrine pancreas, particularly the high risk of pancreatitis, is controversial. In this study, we examined the exocrine pancreatic function and structure in spontaneously diabetic Goto-Kakizaki (GK) rats treated with a dipeptidyl peptid...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318287c9b5

    authors: Mizukami H,Inaba W,Takahashi K,Kamata K,Tsuboi K,Yagihashi S

    更新日期:2013-07-01 00:00:00

  • Clinical Utility of Histological and Radiological Evaluations of Tumor Necrosis for Predicting Prognosis in Pancreatic Cancer.

    abstract:OBJECTIVES:Tumor necrosis is often found in pancreatic ductal adenocarcinoma (PDAC). Objective histological assessment and adequate radiological detection of necrosis could be used as biomarkers for therapeutic decision. However, standardized clinical utility of necrosis remains unknown. Here, we aimed to determine the...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001539

    authors: Kudo M,Kobayashi T,Gotohda N,Konishi M,Takahashi S,Kobayashi S,Sugimoto M,Okubo S,Martin J,Cabral H,Ishii G,Kojima M

    更新日期:2020-05-01 00:00:00

  • Biochemical and histochemical characterization of cultured rat and hamster pancreatic ducts.

    abstract::Pancreatic duct fragments were isolated from rat and hamster pancreas and were cultured in an agarose matrix for up to 8 weeks (rat) or 20 weeks (hamster). The fragments consisted predominantly of duct epithelium, lesser numbers of stromal and atrophied acinar cells, and small numbers of islet cells. Hamster ducts ave...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198707000-00010

    authors: Githens S,Finley JJ,Patke CL,Schexnayder JA,Fallon KB,Ruby JR

    更新日期:1987-01-01 00:00:00