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[Early stage pancreatic cancer]
C Kahlert1, M Distler1, D Aust2,3
1Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie (VTG), Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 22, 2017
Summary
Early detection of pancreatic cancer (PDAC) is crucial. Frequent screening for high-risk individuals and resection of precursor lesions can improve outcomes for this aggressive disease.
Area of Science:
- Oncology
- Gastroenterology
- Cancer Research
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer mortality in the USA.
- PDAC is projected to become the second leading cause of cancer death by 2020.
Purpose of the Study:
- To identify effective strategies for early detection and treatment of pancreatic cancer.
- To outline management approaches for precursor lesions of pancreatic cancer.
Main Methods:
- Review of current screening and diagnostic methods for early-stage PDAC.
- Evaluation of treatment strategies for precursor pancreatic lesions.
Main Results:
- No universal screening program exists due to low incidence and lack of accurate, inexpensive diagnostics.
- Frequent screening is recommended for individuals with a history of hereditary pancreatic cancer or known high-risk mutations.
- Surgical resection of precursor lesions (mucinous pancreatic neoplasms) is advised to prevent late-stage cancer.
- Future diagnostics may involve liquid biopsy biomarkers like circulating tumor cells, exosomes, and circulating tumor DNA.
Conclusions:
- Early detection and treatment of pancreatic cancer and its precursor lesions are vital.
- These interventions can significantly improve the prognosis of PDAC.
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