Problems in the diagnosis and treatment of a so-called mucin-producing tumor of the pancreas.

Abstract:

:Reports of a so-called "mucin-producing tumor of the pancreas" are increasing worldwide. Although the clinicopathologic features and therapeutic strategies of this tumor have been enthusiastically investigated, there are still many unanswered questions regarding this ailment. In this study, problems in the diagnosis and treatment of mucin-producing tumor were analyzed, based on the 259 reported cases of this tumor. The overall 5-year survival rate for resected cases is 83%, which is much higher than that for ordinary duct cell carcinoma (17.3%). However, the 5-year survival rate for carcinoma cases with infiltration into other organs is 28%, which is much lower than those for carcinoma cases without infiltration (86%) and carcinoma cases with infiltration that remained within the pancreatic parenchyma (74%). These results demonstrate that patients with this tumor have a poor prognosis if the tumor infiltrates other organs. In addition, when the spread of the tumor is >6 cm, the prognosis is significantly worse than when the tumor has a spread of <6 cm. The significance of using the presence of K-ras mutation in the pancreatic juice for diagnosis of this tumor and problems of duodenum-preserving pancreatic head resection are discussed.

journal_name

Pancreas

journal_title

Pancreas

authors

Kimura W,Kuroda A,Makuuchi M

doi

10.1097/00006676-199804000-00025

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

363-9

issue

3

eissn

0885-3177

issn

1536-4828

journal_volume

16

pub_type

杂志文章,评审

相关文献

PANCREAS文献大全
  • High-level Skp2 expression in pancreatic ductal adenocarcinoma: correlation with the extent of lymph node metastasis, higher histological grade, and poorer patient outcome.

    abstract:OBJECTIVES:Recent studies have shown that overexpression of S-phase kinase-associated protein 2 (Skp2) occurs in many cancers at an advanced stage. We examined the clinicopathologic significance and prognostic implication of Skp2 expression in pancreatic invasive ductal carcinoma. METHODS:Tissue samples from 46 pancre...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000220862.78248.c4

    authors: Einama T,Kagata Y,Tsuda H,Morita D,Ogata S,Ueda S,Takigawa T,Kawarabayashi N,Fukatsu K,Sugiura Y,Matsubara O,Hatsuse K

    更新日期:2006-05-01 00:00:00

  • Is a nonstented duct-to-mucosa anastomosis using the modified Kakita method a safe procedure?

    abstract:OBJECTIVES:After standardization of the perioperative management of pancreaticoduodenectomy, we retrospectively compared results in nonstented pancreaticojejunostomy with external-stented pancreaticojejunostomy. METHODS:The study population included 129 consecutive patients who underwent pancreaticoduodenectomy betwee...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181bd672c

    authors: Satoi S,Toyokawa H,Yanagimoto H,Yamamoto T,Hirooka S,Yui R,Yamaki S,Takahashi K,Matsui Y,Mergental H,Kwon AH

    更新日期:2010-03-01 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

  • 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

  • Exocrine pancreatic function in oleic acid-induced pancreatic insufficiency in rats.

    abstract::Pancreatic insufficiency was induced in rats by a single injection of 50 microliter oleic acid into the pancreatic duct over a period of 3 min. Exocrine tissue was destroyed within 3-6 days, and after 6 weeks the remaining pancreas equaled 2.7% of the original organ. The rats showed retardation of body weight in spite...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198601000-00007

    authors: Mundlos S,Adler G,Schaar M,Koop I,Arnold R

    更新日期:1986-01-01 00:00:00

  • Relationship between native and recombinant cholecystokinin receptors: role of differential glycosylation.

    abstract::In an attempt to establish the relationship between the protein encoded by the recently cloned type A cholecystokinin (CCK) receptor cDNA and the two distinct plasmalemmal proteins on the rat pancreatic acinar cell that were previously described as candidates to represent this receptor, we have established a Chinese h...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199608000-00003

    authors: Hadac EM,Ghanekar DV,Holicky EL,Pinon DI,Dougherty RW,Miller LJ

    更新日期:1996-08-01 00:00:00

  • Pancreatic enzyme secretion mediated by novel peptide: monitor peptide hypothesis.

    abstract::A new model is proposed for pancreatic enzyme secretion in response to food protein intake in rats. We have found a novel peptide in rat bile-pancreatic juice, which exhibits a trypsin-sensitive, cholecystokinin (CCK)-releasing activity. The amino acid sequence of the peptide purified from rat bile-pancreatic juice is...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198812000-00013

    authors: Iwai K,Fushiki T,Fukuoka S

    更新日期:1988-01-01 00:00:00

  • Characterization of the Neuroendocrine Tumor Immune Microenvironment.

    abstract:OBJECTIVES:The immune environment and the potential for neuroendocrine tumors (NETs) to respond to immune checkpoint inhibitors remain largely unexplored. We assessed immune checkpoint marker expression, lymphocytic infiltrate, and associated mutational profiles in a cohort of small intestine and pancreatic NETs. METH...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001150

    authors: da Silva A,Bowden M,Zhang S,Masugi Y,Thorner AR,Herbert ZT,Zhou CW,Brais L,Chan JA,Hodi FS,Rodig S,Ogino S,Kulke MH

    更新日期:2018-10-01 00:00:00

  • Successful resection of a liver metastasis from AFP-producing pancreatic cancer resulting in long-term survival: a case report and review of literature.

    abstract::The prognosis of patients with alpha-fetoprotein (AFP)-producing pancreatic cancer is generally very poor. We, however, present a case of a 33-year-old man who survived AFP-producing pancreatic cancer and its metachronous liver metastasis. The patient had undergone a curative total pancreatectomy for AFP-producing pan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000179727.15716.82

    authors: Natsume T,Watanabe Y,Maruyama T,Tanaka H,Sunouchi K,Tohma T,Noju M,Muto Y,Tohnosu N,Uehara T,Shimizu S,Ochiai T,Nabeya Y

    更新日期:2005-11-01 00:00:00

  • Characteristics of L-glutamine transport in the perfused rat exocrine pancreas: lack of sensitivity to insulin and streptozotocin-induced experimental diabetes.

    abstract::The transport specificity of L-glutamine influx in the perfused rat exocrine pancreas has been investigated using a dual isotope tracer dilution technique. During a single circulation through the isolated pancreas, an epithelial uptake of 71 +/- 1% (n = 10) was measured for L-(3H)glutamine relative to the extracellula...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198605000-00007

    authors: Mann GE,Habara Y,Peran S

    更新日期:1986-01-01 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

  • Manganese modulates protein phosphorylation in the rat pancreas: in vitro evidence for cation selective regulation.

    abstract::The effects of manganese (Mn2+) on phosphorylation activity in the rat pancreas were examined in an in vitro phosphorylation assay and by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) of endogenous proteins. Several histones were phosphorylated in the presence of pancreatic supernatant obtained ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199009000-00015

    authors: Brockenbrough JS,Korc M

    更新日期:1990-09-01 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

  • 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

  • Calcium channel blockade inhibits release of TNF alpha and improves survival in a rat model of acute pancreatitis.

    abstract::Tumor necrosis factor-alpha (TNF alpha) has been implicated as one of the numerous likely mediators of the systemic complications of acute pancreatitis. Recent suggestions that calcium (Ca2+) acts as a signal not only for TNF alpha release but also for TNF alpha action at distant sites led us to hypothesize that the c...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199607000-00003

    authors: Hughes CB,el-Din AB,Kotb M,Gaber LW,Gaber AO

    更新日期:1996-07-01 00:00:00

  • Carbachol and cholecystokinin enhance accumulation of nicotine in rat pancreatic acinar cells.

    abstract::Nicotine is a possible risk factor for chronic pancreatitis and pancreatic cancer. To study the loci where nicotine might exert its effect, we examined interactions between nicotine and rat pancreatic acini. When pancreatic acini were incubated with [3H]nicotine, [3H]nicotine levels in pancreatic acini were increased ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199503000-00008

    authors: Doi R,Chowdhury P,Nishikawa M,Takaori K,Inoue K,Imamura M,Rayford PL

    更新日期:1995-03-01 00:00:00

  • A minimally invasive and simple screening test for detection of pancreatic ductal adenocarcinoma using biomarkers in duodenal juice.

    abstract:OBJECTIVES:The aim of this study was to establish a minimally invasive and simple screening test for detection of pancreatic ductal adenocarcinoma (PDAC) using duodenal juice (DJ). METHODS:Duodenal juice was collected prospectively before endoscopic retrograde cholangiopancreatography in 46 patients. A protease inhibi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182649979

    authors: Mori Y,Ohtsuka T,Kono H,Nagayoshi Y,Ideno N,Aso T,Kozono S,Ohuchida K,Takahata S,Nakamura M,Mizumoto K,Tanaka M

    更新日期:2013-03-01 00:00:00

  • Treatment of duct carcinoma of the pancreas with the LH-RH analogue buserelin.

    abstract::Thirty-six patients (21 male, 15 female) with ductal pancreatic cancer were treated with the long-acting synthetic luteinizing hormone releasing hormone (LH-RH) analogue buserelin. All patients had advanced tumor stages (stage II: 7 patients; stage III: 11 patients; stage IV: 18 patients). A monthly follow-up includin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199209000-00002

    authors: Friess H,Büchler M,Krüger M,Beger HG

    更新日期:1992-01-01 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

  • Histopathologic correlation of endoscopic ultrasound findings of chronic pancreatitis in human autopsies.

    abstract:OBJECTIVES:To provide histologic correlation of endoscopic ultrasound (EUS) findings believed to represent chronic pancreatitis (CP). METHODS:Eighteen postmortem pancreatic specimens in patients dying of all causes were examined in vitro by EUS for features of CP: (1) echogenic foci, (2) hypoechoic foci, (3) echogenic...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181b2bc1a

    authors: Bhutani MS,Arantes VN,Verma D,Moezzi J,Suryaprasad S,Kapadia AS,Gopalswamy N

    更新日期:2009-10-01 00:00:00

  • Hypochlorhydria and achlorhydria are associated with false-positive secretin stimulation testing for Zollinger-Ellison syndrome.

    abstract:OBJECTIVES:Secretin stimulation testing (SST) is used to evaluate patients with hypergastrinemia in the diagnosis of Zollinger-Ellison syndrome. Case series have documented false-positive SST in patients with achlorhydria. This study reviews our experience with SST in hypochlorhydric and achlorhydric patients. METHODS...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182847b2e

    authors: Shah P,Singh MH,Yang YX,Metz DC

    更新日期:2013-08-01 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

  • Inhibition of pancreatic and liver carcinogenesis in rats by retinoid- and selenium-supplemented diets.

    abstract::Chemoprevention by a synthetic retinoid, selenium, and these agents in combination during the postinitiation stages of carcinogenesis induced in rats by azaserine was evaluated. Male Lewis rats were given three weekly injections of 30 mg/kg azaserine while being fed a purified diet. One week after completion of carcin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198802000-00007

    authors: Curphey TJ,Kuhlmann ET,Roebuck BD,Longnecker DS

    更新日期:1988-01-01 00:00:00

  • Evaluation of Phase II Trial Design in Advanced Pancreatic Cancer.

    abstract:OBJECTIVES:We evaluated how well phase II trials in locally advanced and metastatic pancreatic cancer (LAMPC) meet current recommendations for trial design. METHODS:We conducted a systematic review of phase II first-line treatment trial for LAMPC. We assessed baseline characteristics, type of comparison, and primary e...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001429

    authors: Tang M,Chen J,Goldstein D,Links M,Lord S,Marschner I,Simes RJ,Lee CK

    更新日期:2019-11-01 00:00:00

  • Contribution of thymidylate synthase to gemcitabine therapy for advanced pancreatic cancer.

    abstract:OBJECTIVES:Thymidylate synthase (TS) inhibitors activate human equilibrative nucleoside transporter 1. We evaluated the contribution of TS expression to determine a treatment method providing an effect from gemcitabine (GEM). METHODS:The expression of 5-fluorouracil (5-FU) and GEM metabolic factors (5-FU: TS, dihydrop...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181dec17d

    authors: Komori S,Osada S,Mori R,Matsui S,Sanada Y,Tomita H,Tokuyama Y,Takahashi T,Yamaguchi K,Yoshida K

    更新日期:2010-11-01 00:00:00

  • Establishment and Characterization of a Novel Cell Line, ASAN-PaCa, Derived From Human Adenocarcinoma Arising in Intraductal Papillary Mucinous Neoplasm of the Pancreas.

    abstract:OBJECTIVES:Our aim was to establish and characterize a novel pancreatic ductal adenocarcinoma cell line from a patient in whom the origin of the invasive carcinoma could be traced back to the intraductal papillary mucinous neoplasm (IPMN) precursor lesion. METHODS:The primary patient-derived tumor was propagated in im...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000673

    authors: Heller A,Angelova AL,Bauer S,Grekova SP,Aprahamian M,Rommelaere J,Volkmar M,Janssen JW,Bauer N,Herr I,Giese T,Gaida MM,Bergmann F,Hackert T,Fritz S,Giese NA

    更新日期:2016-11-01 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

  • Effect of Reprimo Down-regulation on Malignant Transformation of Intraductal Papillary Mucinous Neoplasm.

    abstract:OBJECTIVES:Reprimo gene is a cytoplasmic protein belonging to a family of molecules controlled by p53 that inhibits cell cycle progression. Ectopic expression of Reprimo results in cell cycle arrest at the G2 phase. The aim of this study was to investigate the impact of Reprimo expression on tumorigenesis of intraducta...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001002

    authors: Nakazato T,Suzuki Y,Tanaka R,Abe N,Masaki T,Mori T,Ohkura Y,Sugiyama M

    更新日期:2018-03-01 00:00:00

  • Integrated radiosurgical treatment of resectable pancreatic head carcinoma.

    abstract::Thirty-six patients with pancreatic head carcinoma entered a protocol, but only 20 were suitable for resection and evaluation of long-term survival. They were nine males and 11 females, with a mean age of 64.3 years. Following surgical resection, 10 Gy was delivered to the tumor bed intraoperatively. Postoperative rad...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199801000-00006

    authors: Crucitti F,Doglietto GB,Frontera D,Viola G,Morganti AG,Valentini V,Alfonsi G,Trodella L,Cellini N

    更新日期:1998-01-01 00:00:00

  • Endocrine pancreas development: effects of metabolic and intergenerational programming caused by a protein-restricted diet.

    abstract::Experimental studies have demonstrated an association between low birth weight and the later development of type 2 diabetes. This association could be a result of the programming process that affects pancreatic beta-cell development due to poor fetal nutrition. This mechanism may not be limited to the first generation...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0b013e3182236320

    authors: Frantz ED,Peixoto-Silva N,Pinheiro-Mulder A

    更新日期:2012-01-01 00:00:00