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Annals of Pancreatic Cancer最新文献

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From pancreatic cancer to lung cancer, ZIP4’s oncogenic function continues 从胰腺癌到肺癌,ZIP4的致癌功能仍在继续
Pub Date : 2022-07-01 DOI: 10.21037/apc-22-2
Shi-Yong Sun
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引用次数: 0
Transformation of metastatic nonfunctioning pancreatic neuroendocrine tumor into insulinoma—two case reports 转移性无功能胰腺神经内分泌肿瘤转化为胰岛素瘤2例报告
Pub Date : 2022-06-01 DOI: 10.21037/apc-22-1
Lawrence W. Wu, Syed M Qasim Hussaini, J. W. Lee, Daniel H Shu, R. Hruban, D. Laheru
{"title":"Transformation of metastatic nonfunctioning pancreatic neuroendocrine tumor into insulinoma—two case reports","authors":"Lawrence W. Wu, Syed M Qasim Hussaini, J. W. Lee, Daniel H Shu, R. Hruban, D. Laheru","doi":"10.21037/apc-22-1","DOIUrl":"https://doi.org/10.21037/apc-22-1","url":null,"abstract":"","PeriodicalId":8372,"journal":{"name":"Annals of Pancreatic Cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75545109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pancreatic neuroendocrine tumor in a 27-year-old patient with Cornelia de Lange syndrome: a case report 27岁Cornelia de Lange综合征并发胰腺神经内分泌肿瘤1例
Pub Date : 2022-05-01 DOI: 10.21037/apc-21-12
M. Wright, A. Kline, elliot k fishman, A. Javed
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引用次数: 1
EBF2 contributes to pancreatic cancer progenitor cell differentiation and tumor suppression EBF2参与胰腺癌祖细胞分化和肿瘤抑制
Pub Date : 2022-04-01 DOI: 10.21037/apc-21-17
H. Mathew, J. Barb, S. Bentzen, Sheelu Varghese
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引用次数: 0
Blood transfusion is associated with worse outcomes following pancreatic resection for pancreatic adenocarcinoma 输血与胰腺腺癌切除术后较差的预后相关
Pub Date : 2022-03-01 DOI: 10.21037/apc-21-11
A. Javed, S. Ronnekleiv-Kelly, A. Hasanain, M. Pflüger, J. Habib, M. Wright, Jin He, J. Cameron, elliot k fishman, S. Frank, M. Weiss, R. Burkhart
{"title":"Blood transfusion is associated with worse outcomes following pancreatic resection for pancreatic adenocarcinoma","authors":"A. Javed, S. Ronnekleiv-Kelly, A. Hasanain, M. Pflüger, J. Habib, M. Wright, Jin He, J. Cameron, elliot k fishman, S. Frank, M. Weiss, R. Burkhart","doi":"10.21037/apc-21-11","DOIUrl":"https://doi.org/10.21037/apc-21-11","url":null,"abstract":"","PeriodicalId":8372,"journal":{"name":"Annals of Pancreatic Cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83762461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Selected pre-operative factors which affect pancreaticoduodenectomy outcomes: a systematic review 影响胰十二指肠切除术结果的术前因素:一项系统综述
Pub Date : 2021-11-01 DOI: 10.21037/apc-21-15
T. Russell, P. Labib, S. Aroori
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引用次数: 0
A single-institutional analysis of racial disparities in clinicopathologic characteristics, treatment selections, and outcomes in advanced-stage pancreatic cancer patients. 晚期胰腺癌患者临床病理特征、治疗选择和预后的种族差异的单机构分析。
Pub Date : 2021-10-01 Epub Date: 2021-10-30 DOI: 10.21037/apc-21-5
Matthew Williams, Umut Özbek, Jung-Yi Lin, Celina Ang

Background: To investigate racial disparities among unresectable/metastatic pancreatic ductal adenocarcinoma (PDA) patients treated with contemporary chemotherapy regimens at an urban center.

Methods: Retrospective review of all PDA patients treated at a single institution between 2012-2017. Continuous and categorical variables were tested using t-test, Mann-Whitney U, chi-squared or Fisher's exact test as appropriate. Kaplan-Meier curves were generated and Cox proportional hazards models were used to analyze survival outcomes.

Results: One hundred and forty-five patients identified as: White [69], African American (AA, 34), Asian [15], and Other [27]. Fifty-five-point-seven percent of patients received gemcitabine-based therapy vs. 36.6% received fluorouracil (5-FU) based therapy, specifically 26.1% received FOLFIRINOX and 43.7% received gemcitabine/nab-paclitaxel. In a univariable model, Asians had significantly worse overall survival (OS) than Whites [hazard ratio (HR) 2.74, P=0.013], but there were no OS differences between AA vs. Whites (HR 1.51, P=0.297) nor Other vs. Whites (HR 2.05, P=0.062). On multivariable analysis, Asians had worse OS compared to Whites (HR 2.62, P=0.018), and gemcitabine-based therapy was inferior to 5-FU-based therapy (HR 2.65, P=0.005). There were no OS differences between AA vs. Whites nor Other vs. Whites (HR 1.12, P=0.769 and HR 0.8, P=0.763, respectively).

Conclusions: In this series of advanced PDA patients treated with contemporary chemotherapy, AA and White patients had comparable outcomes, but Asians had worse OS than White patients.

背景:调查在城市中心接受当代化疗方案治疗的不可切除/转移性胰腺导管腺癌(PDA)患者的种族差异。方法:回顾性分析2012-2017年在单一机构治疗的所有PDA患者。对连续变量和分类变量进行t检验、Mann-Whitney U检验、卡方检验或Fisher精确检验。生成Kaplan-Meier曲线,并使用Cox比例风险模型分析生存结果。结果:145例患者被确定为:白人[69],非洲裔美国人(AA, 34),亚洲人[15]和其他[27]。55.7%的患者接受了以吉西他滨为基础的治疗,36.6%的患者接受了以氟尿嘧啶(5-FU)为基础的治疗,特别是26.1%的患者接受了FOLFIRINOX, 43.7%的患者接受了吉西他滨/nab-紫杉醇。在单变量模型中,亚洲人的总生存率(OS)明显低于白人[风险比(HR) 2.74, P=0.013],但AA组与白人组(HR 1.51, P=0.297)和其他组与白人组(HR 2.05, P=0.062)之间的OS无差异。在多变量分析中,亚洲人的OS比白人差(HR 2.62, P=0.018),基于吉西他滨的治疗不如基于5- fu的治疗(HR 2.65, P=0.005)。AA组与白人组、Other组与白人组无OS差异(HR 1.12, P=0.769; HR 0.8, P=0.763)。结论:在这一系列接受当代化疗的晚期PDA患者中,AA和白人患者的预后相当,但亚洲人的OS比白人患者更差。
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引用次数: 0
Pancreatic adenocarcinoma in liver transplant recipients: a case series. 肝移植受者胰腺腺癌:一个病例系列。
Pub Date : 2021-10-01 Epub Date: 2021-10-30 DOI: 10.21037/apc-21-4
Muhammad A Rauf, Ioannis A Ziogas, Julia M Sealock, Lea K Davis, Manhal Izzy, Sophoclis P Alexopoulos, Lea K Matsuoka

Background: Malignancy is one of the known leading causes of death among long-term liver transplantation (LT) survivors. Pancreatic cancer has an incidence of 7.6/100,000 in North America and constitutes a diagnostic challenge post-LT.

Methods: This is a single-center, retrospective review of the electronic health records (EHRs) of LT recipients with pancreatic adenocarcinoma (1990-2019). The prevalence of pancreatic adenocarcinoma in our institutional non-LT population was assessed using an institutional de-identified database (Synthetic Derivative).

Results: Six out of 2,232 (0.27%) LT recipients were diagnosed with pancreatic adenocarcinoma. Median age at diagnosis was 66.0 years (IQR, 57.8-71.8 years). Median time from LT to pancreatic adenocarcinoma diagnosis was 8.9 years (IQR, 4.7-16.2 years), the median size on imaging was 3.2 cm (IQR, 3.1-4.7 cm), and all tumors were located on the head of the pancreas. Three patients underwent surgical resection (one with adjuvant chemotherapy), two underwent palliative care, and one palliative chemotherapy with gemcitabine and abraxane. Over a median follow-up of 220.5 days (IQR, 144.8-399.5 days), all six patients died due to disease progression (100%). Pancreatic adenocarcinoma was diagnosed in 5,033 out of 2,484,772 (0.20%) individuals in the Synthetic Derivative.

Conclusions: Our findings identified an increased incidence of pancreatic adenocarcinoma following LT compared to the general population.

背景:恶性肿瘤是已知的长期肝移植(LT)幸存者死亡的主要原因之一。胰腺癌在北美的发病率为7.6/10万,是肝移植后的诊断挑战。方法:这是一项单中心回顾性研究,对1990-2019年胰脏腺癌肝移植受者的电子健康记录(EHRs)进行了回顾。我们使用机构去识别数据库(合成衍生物)评估了机构非lt人群中胰腺腺癌的患病率。结果:2232例(0.27%)肝移植受者中有6例被诊断为胰腺腺癌。诊断时的中位年龄为66.0岁(IQR, 57.8-71.8岁)。从LT到胰腺腺癌诊断的中位时间为8.9年(IQR, 4.7-16.2年),成像中位尺寸为3.2 cm (IQR, 3.1-4.7 cm),所有肿瘤均位于胰腺头部。3例患者接受手术切除(1例辅助化疗),2例接受姑息治疗,1例接受吉西他滨和abraxane姑息化疗。中位随访时间为220.5天(IQR, 144.8-399.5天),6例患者均因疾病进展死亡(100%)。在合成衍生物中,2,484,772人中有5,033人(0.20%)被诊断为胰腺腺癌。结论:我们的研究结果表明,与普通人群相比,肝移植后胰腺腺癌的发病率增加。
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引用次数: 1
A national database analysis of acinar cell carcinoma of the pancreas, a histologically, epidemiologically, and biologically distinct entity increasing in incidence 胰腺腺泡细胞癌的国家数据库分析,一个组织学,流行病学和生物学上独特的实体增加发病率
Pub Date : 2021-05-20 DOI: 10.21037/APC-21-1
J. Yonkus, J. Bergquist, R. Alva-Ruiz, T. Ivanics, E. Habermann, A. Abdelrahman, T. Grotz, S. Cleary, R. Smoot, D. Nagorney, M. Kendrick, T. Halfdanarson, M. Truty
Background: Pancreatic acinar cell carcinoma is a rare exocrine malignancy that is distinct from pancreatic ductal adenocarcinoma. We sought to describe its changing incidence, compare its natural history to that of pancreatic ductal adenocarcinoma, and evaluate impact of treatment modalities using the National Cancer Data Base, and Surveillance Epidemiology and End Results datasets. Methods: Patients with histologically confirmed diagnosis were identified from the National Cancer Data Base and Surveillance Epidemiology and End Results. Parametric univariate analyses were performed to compare patient characteristics, tumor types and outcomes. Incidence trends were calculated using Surveillance Epidemiology and End Results data and unadjusted Kaplan-Meier Survival analysis was performed using data from the National Cancer Data Base. Results: Incidence of acinar cell carcinoma significantly increased by 73% over the study period compared to only 22% for ductal adenocarcinoma (P<0.01). Unadjusted and adjusted stage-specific survival was substantially superior for acinar cell carcinoma versus ductal adenocarcinoma in all stages. Pancreatic acinar cell carcinoma demonstrated lower age at diagnosis, larger and lower grade tumors, was less likely to demonstrate histopathologic lymphovascular invasion, and more likely to undergo curative-intent resection with lower positive margins compared to ductal adenocarcinoma. Amongst resected patients, ductal carcinoma histology remained the strongest independent predictor of increased mortality hazard compared to pancreatic acinar cell carcinoma. Conclusions: Acinar cell carcinoma is a less aggressive malignancy with a significantly rising incidence of unknown etiology and better overall survival in both unadjusted analysis and after adjustment for clinically relevant predictors of mortality. 10 surgical resection. These findings, along with the improved overall survival at all stages, suggests that PACC is a less aggressive malignancy than PDAC. The 73% increase in incidence over a 12 year study period is of significant interest. The study demonstrated that the incidence is increasing at a much faster rate than PDAC. The reason for the increasing incidence is unknown and is a subject for further investigation which should be followed with interval studies. Possible explanations for this increased incidence is improvements in the ability to identify this histologic subtype, increased incidental identification during abdominal imaging for other purposes, or due to genetic factors.
背景:胰腺腺泡细胞癌是一种不同于胰腺导管腺癌的罕见外分泌恶性肿瘤。我们试图描述其发病率的变化,比较其与胰腺导管腺癌的自然历史,并利用国家癌症数据库、监测流行病学和最终结果数据集评估治疗方式的影响。方法:从国家癌症数据库和监测流行病学和最终结果中确定组织学确诊的患者。进行参数单变量分析以比较患者特征、肿瘤类型和结果。使用监测流行病学和最终结果数据计算发病率趋势,使用国家癌症数据库的数据进行未经调整的Kaplan-Meier生存分析。结果:在研究期间,腺泡细胞癌的发病率显著增加了73%,而导管腺癌的发病率仅为22% (P<0.01)。在所有分期中,腺泡细胞癌与导管腺癌相比,未调整和调整的分期特异性生存率显著优于腺泡细胞癌。与导管腺癌相比,胰腺腺泡细胞癌的诊断年龄较低,肿瘤体积较大,级别较低,不易表现为组织病理学淋巴血管侵犯,更容易接受低阳性边缘的治愈性切除。在切除的患者中,与胰腺腺泡细胞癌相比,导管癌组织学仍然是死亡风险增加的最强独立预测因子。结论:腺泡细胞癌是一种侵袭性较低的恶性肿瘤,其未知病因的发生率显著上升,在未调整分析和调整临床相关死亡率预测因子后,总生存率更高。10手术切除。这些发现,以及所有阶段总体生存率的提高,表明PACC是一种比PDAC侵袭性更小的恶性肿瘤。在12年的研究期间,发病率增加了73%,这一点值得关注。研究表明,发病率的增长速度比PDAC快得多。发病率增加的原因尚不清楚,这是一个需要进一步调查的问题,应该进行间隔研究。这种发病率增加的可能解释是识别这种组织学亚型的能力的提高,在其他目的的腹部影像学检查中偶然发现的增加,或由于遗传因素。
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引用次数: 0
A Phase 1b clinical trial of LDE225 (Sonidegib) in combination with fluorouracil, leucovorin, oxaliplatin, and irinotecan (FOLFIRINOX) in previously untreated locally advanced or metastatic pancreatic adenocarcinoma LDE225 (Sonidegib)联合氟尿嘧啶、亚叶酸钙、奥沙利铂和伊立替康(FOLFIRINOX)治疗先前未治疗的局部晚期或转移性胰腺腺癌的1b期临床试验
Pub Date : 2021-04-15 DOI: 10.21037/APC-20-41
J. Clark, N. Horick, Jill N. Allen, L. Blaszkowsky, Janet E. Murphy, C. Fuchs, B. Wolpin, R. Mayer, Jason E. Farris, J. Chan, K. Ng, N. McCleary, T. Abrams, D. Ryan, E. Kwak, T. Hong
Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital Cancer Center, Boston, MA, USA; Yale Cancer Center, New Haven, CT, USA; Dana Farber Cancer Institute, Boston, MA, USA; Dartmouth-Hitchcock Norris Cotton Cancer Center, One Medical Center Drive, Lebanon, NH, USA Contributions: (I) Conception and design: JW Clark, EL Kwak, TS Hong; (II) Administrative support: None; (III) Provision of study materials or patients: JW Clark, JN Allen, LS Blaszkowsky, JE Murphy, C Fuchs, BM Wolpin, RJ Mayer, JE Farris, JA Chan, K Ng, NJ McCleary, TA Abrams, DP Ryan, EL Kwak; (IV) Collection and assembly of data: JW Clark, N Horick, EL Kwak, TS Hong; (V) Data analysis and interpretation: JW Clark, N Horick, EL Kwak, TS Hong; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. These authors contributed equally to this work. Correspondence to: Jeffrey W. Clark, MD. Massachusetts General Hospital Cancer Center, 55 Fruit Street, 223 Bartlett Hall, Boston, MA 02114, USA. Email: clark.jeffrey@mgh.harvard.edu.
哈佛医学院,波士顿,马萨诸塞州,美国;美国马萨诸塞州波士顿总医院肿瘤中心;耶鲁大学癌症中心,美国康涅狄格州纽黑文;达纳法伯癌症研究所,波士顿,马萨诸塞州,美国;达特茅斯-希区柯克-诺里斯棉花癌症中心,黎巴嫩,新罕布什尔州,美国贡献:(一)概念和设计:JW Clark, EL Kwak, TS Hong;行政支助:无;(三)为患者提供研究资料:JW Clark, JN Allen, LS Blaszkowsky, JE Murphy, C Fuchs, BM Wolpin, RJ Mayer, JE Farris, JA Chan, K Ng, NJ McCleary, TA Abrams, DP Ryan, EL Kwak;(四)数据收集与组装:JW Clark, N Horick, EL Kwak, TS Hong;(五)数据分析与解释:JW Clark, N Horick, EL Kwak, TS Hong;(六)稿件撰写:全体作者;(七)稿件最终审定:全体作者。这些作者对这项工作贡献均等。收信人:Jeffrey W. Clark, MD. Massachusetts General Hospital Cancer Center,水果街55号,223 Bartlett Hall, Boston, MA 02114, USA。电子邮件:clark.jeffrey@mgh.harvard.edu。
{"title":"A Phase 1b clinical trial of LDE225 (Sonidegib) in combination with fluorouracil, leucovorin, oxaliplatin, and irinotecan (FOLFIRINOX) in previously untreated locally advanced or metastatic pancreatic adenocarcinoma","authors":"J. Clark, N. Horick, Jill N. Allen, L. Blaszkowsky, Janet E. Murphy, C. Fuchs, B. Wolpin, R. Mayer, Jason E. Farris, J. Chan, K. Ng, N. McCleary, T. Abrams, D. Ryan, E. Kwak, T. Hong","doi":"10.21037/APC-20-41","DOIUrl":"https://doi.org/10.21037/APC-20-41","url":null,"abstract":"Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital Cancer Center, Boston, MA, USA; Yale Cancer Center, New Haven, CT, USA; Dana Farber Cancer Institute, Boston, MA, USA; Dartmouth-Hitchcock Norris Cotton Cancer Center, One Medical Center Drive, Lebanon, NH, USA Contributions: (I) Conception and design: JW Clark, EL Kwak, TS Hong; (II) Administrative support: None; (III) Provision of study materials or patients: JW Clark, JN Allen, LS Blaszkowsky, JE Murphy, C Fuchs, BM Wolpin, RJ Mayer, JE Farris, JA Chan, K Ng, NJ McCleary, TA Abrams, DP Ryan, EL Kwak; (IV) Collection and assembly of data: JW Clark, N Horick, EL Kwak, TS Hong; (V) Data analysis and interpretation: JW Clark, N Horick, EL Kwak, TS Hong; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. These authors contributed equally to this work. Correspondence to: Jeffrey W. Clark, MD. Massachusetts General Hospital Cancer Center, 55 Fruit Street, 223 Bartlett Hall, Boston, MA 02114, USA. Email: clark.jeffrey@mgh.harvard.edu.","PeriodicalId":8372,"journal":{"name":"Annals of Pancreatic Cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73462285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Annals of Pancreatic Cancer
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