Elevating pancreatic cystic lesion stratification: Current and future pancreatic cancer biomarker(s)

Pancreatic ductal adenocarcinoma (PDAC) is an incredibly deadly disease with a 5-year survival rate of 9%. The presence of pancreatic cystic lesions (PCLs) confers an increased likelihood of future pancreatic cancer in patients placing them in a high-risk category. Discerning concurrent malignancy a...

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Veröffentlicht in:Biochimica et biophysica acta. Reviews on cancer 2020-01, Vol.1873 (1), p.188318-188318, Article 188318
Hauptverfasser: Carmicheal, Joseph, Patel, Asish, Dalal, Vipin, Atri, Pranita, Dhaliwal, Amaninder S., Wittel, Uwe A., Malafa, Mokenge P., Talmon, Geoffrey, Swanson, Benjamin J., Singh, Shailender, Jain, Maneesh, Kaur, Sukhwinder, Batra, Surinder K.
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container_title Biochimica et biophysica acta. Reviews on cancer
container_volume 1873
creator Carmicheal, Joseph
Patel, Asish
Dalal, Vipin
Atri, Pranita
Dhaliwal, Amaninder S.
Wittel, Uwe A.
Malafa, Mokenge P.
Talmon, Geoffrey
Swanson, Benjamin J.
Singh, Shailender
Jain, Maneesh
Kaur, Sukhwinder
Batra, Surinder K.
description Pancreatic ductal adenocarcinoma (PDAC) is an incredibly deadly disease with a 5-year survival rate of 9%. The presence of pancreatic cystic lesions (PCLs) confers an increased likelihood of future pancreatic cancer in patients placing them in a high-risk category. Discerning concurrent malignancy and risk of future PCL progression to cancer must be carefully and accurately determined to improve survival outcomes and avoid unnecessary morbidity of pancreatic resection. Unfortunately, current image-based guidelines are inadequate to distinguish benign from malignant lesions. There continues to be a need for accurate molecular and imaging biomarker(s) capable of identifying malignant PCLs and predicting the malignant potential of PCLs to enable risk stratification and effective intervention management. This review provides an update on the current status of biomarkers from pancreatic cystic fluid, pancreatic juice, and seromic molecular analyses and discusses the potential of radiomics for differentiating PCLs harboring cancer from those that do not. [Display omitted]
doi_str_mv 10.1016/j.bbcan.2019.188318
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The presence of pancreatic cystic lesions (PCLs) confers an increased likelihood of future pancreatic cancer in patients placing them in a high-risk category. Discerning concurrent malignancy and risk of future PCL progression to cancer must be carefully and accurately determined to improve survival outcomes and avoid unnecessary morbidity of pancreatic resection. Unfortunately, current image-based guidelines are inadequate to distinguish benign from malignant lesions. There continues to be a need for accurate molecular and imaging biomarker(s) capable of identifying malignant PCLs and predicting the malignant potential of PCLs to enable risk stratification and effective intervention management. This review provides an update on the current status of biomarkers from pancreatic cystic fluid, pancreatic juice, and seromic molecular analyses and discusses the potential of radiomics for differentiating PCLs harboring cancer from those that do not. 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source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE
subjects Biomarker
Biomarkers, Tumor - analysis
Carcinoma, Pancreatic Ductal - diagnosis
Disease Progression
Early detection
Early Detection of Cancer - methods
IPMN
Pancreas - pathology
Pancreatic cancer
Pancreatic Cyst - diagnosis
Pancreatic cystic lesions
Pancreatic ductal adenocarcinoma
Pancreatic Neoplasms - diagnosis
Precancerous Conditions - diagnosis
Radiomics
Risk Factors
Survival Analysis
title Elevating pancreatic cystic lesion stratification: Current and future pancreatic cancer biomarker(s)
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