Detecting Early Pancreatic Cancer: Current Problems and Future Prospects.
Early detection of cancer
Incidental finding
Mass screening
Pancreatic neoplasms
Risk factors
Journal
Gut and liver
ISSN: 2005-1212
Titre abrégé: Gut Liver
Pays: Korea (South)
ID NLM: 101316452
Informations de publication
Date de publication:
15 01 2020
15 01 2020
Historique:
received:
05
11
2018
revised:
05
01
2019
accepted:
25
01
2019
pubmed:
23
4
2019
medline:
5
11
2020
entrez:
23
4
2019
Statut:
ppublish
Résumé
The number of patients with pancreatic cancer (PC) is currently increasing in both Korea and Japan. The 5-year survival rate of patients with PC 13.0%; however, resection with minimal invasion (tumor size: ≤10 mm) increases the 5-year survival rate to 80%. For this reason, early detection is essential, but most patients with early-stage PC are asymptomatic. Early detection of PC has been reported to require screening of high-risk individuals (HRIs), such as those with a family history of PC, inherited cancer syndromes, intraductal papillary mucinous neoplasm, or chronic pancreatitis. Studies on screening of these HRIs have confirmed a significantly better prognosis among patients with PC who were screened than for patients with PC who were not screened. However, to date in Japan, most patients with early-stage PC diagnosed in routine clinics were not diagnosed during annual health checks or by surveillance; rather, PC was detected in these patients by incidental findings during examinations for other diseases. We need to increase the precision of the PC screening and diagnostic processes by introducing new technologies, and we need to pay greater attention to incidental clinical findings.
Identifiants
pubmed: 31009958
pii: gnl18491
doi: 10.5009/gnl18491
pmc: PMC6974337
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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