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Association between the Risk Factors for Pancreatic Ductal Adenocarcinoma and Those for Malignant Intraductal Papillary Mucinous Neoplasm.

Abstract Risk factors for pancreatic ductal adenocarcinoma (PDAC) include diabetes mellitus, chronic pancreatitis, obesity, a family history of pancreatic cancer, and a history of smoking or alcohol consumption. The aim of this study was to evaluate the association between risk factors for PDAC and malignant intraductal papillary mucinous neoplasm (IPMN).
PMID
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Authors

Mayor MeshTerms
Keywords

Intraductal papillary mucinous neoplasm

Pancreatic ductal adenocarcinoma

Risk factors

Smoking history

Journal Title oncology
Publication Year Start




PMID- 29258117
OWN - NLM
STAT- MEDLINE
DCOM- 20171221
LR  - 20171221
IS  - 1423-0232 (Electronic)
IS  - 0030-2414 (Linking)
VI  - 93 Suppl 1
DP  - 2017
TI  - Association between the Risk Factors for Pancreatic Ductal Adenocarcinoma and
      Those for Malignant Intraductal Papillary Mucinous Neoplasm.
PG  - 102-106
LID - 10.1159/000481234 [doi]
AB  - BACKGROUND AND AIMS: Risk factors for pancreatic ductal adenocarcinoma (PDAC)
      include diabetes mellitus, chronic pancreatitis, obesity, a family history of
      pancreatic cancer, and a history of smoking or alcohol consumption. The aim of
      this study was to evaluate the association between risk factors for PDAC and
      malignant intraductal papillary mucinous neoplasm (IPMN). METHODS: The study
      included 134 consecutive patients with IPMN who underwent surgical resection at
      Kindai University Hospital between April 2009 and March 2015. Data on the
      presence or absence of mural nodules (MNs) and risk factors for PDAC were
      evaluated. Multivariable logistic regression analysis was performed with
      malignant IPMN as the outcome variable and MNs and risk factors for PDAC as
      explanatory variables. RESULTS: The odds ratio of malignant IPMN to MNs was 3.88 
      (95% confidence interval [CI] 1.53-9.84; p = 0.004), whereas that of malignant
      IPMN to smoking history was 1.66 (95% CI 0.74-3.71; p = 0.22). When the presence 
      of MNs was considered as a predictive factor for malignancy, the sensitivity and 
      specificity were 88.5 and 32.1%, respectively, whereas when the presence of both 
      smoking history and MNs was considered, the specificity improved to 73.2%, with a
      decrease in sensitivity to 42.3%. CONCLUSIONS: The presence of both a smoking
      history and MNs was a valuable predictive factor for malignant IPMN with high
      specificity. A smoking history should be considered before surgical resection in 
      addition to the presence of MNs.
CI  - (c) 2017 S. Karger AG, Basel.
FAU - Kamata, Ken
AU  - Kamata K
AD  - Department of Gastroenterology and Hepatology, Kindai University Faculty of
      Medicine, Osaka-Sayama, Japan.
FAU - Takenaka, Mamoru
AU  - Takenaka M
FAU - Nakai, Atsushi
AU  - Nakai A
FAU - Omoto, Shunsuke
AU  - Omoto S
FAU - Miyata, Takeshi
AU  - Miyata T
FAU - Minaga, Kosuke
AU  - Minaga K
FAU - Matsuda, Tomohiro
AU  - Matsuda T
FAU - Yamao, Kentaro
AU  - Yamao K
FAU - Imai, Hajime
AU  - Imai H
FAU - Chiba, Yasutaka
AU  - Chiba Y
FAU - Sakurai, Toshiharu
AU  - Sakurai T
FAU - Watanabe, Tomohiro
AU  - Watanabe T
FAU - Nishida, Naoshi
AU  - Nishida N
FAU - Chikugo, Takaaki
AU  - Chikugo T
FAU - Matsumoto, Ippei
AU  - Matsumoto I
FAU - Takeyama, Yoshifumi
AU  - Takeyama Y
FAU - Kudo, Masatoshi
AU  - Kudo M
LA  - eng
PT  - Journal Article
DEP - 20171220
PL  - Switzerland
TA  - Oncology
JT  - Oncology
JID - 0135054
SB  - IM
MH  - Adenocarcinoma, Mucinous/*pathology/surgery
MH  - Aged
MH  - Carcinoma, Pancreatic Ductal/*pathology/surgery
MH  - Carcinoma, Papillary/*pathology/surgery
MH  - Databases, Factual
MH  - Female
MH  - Humans
MH  - Male
MH  - Pancreatic Neoplasms/*pathology/surgery
MH  - Retrospective Studies
MH  - Risk Factors
OTO - NOTNLM
OT  - Intraductal papillary mucinous neoplasm
OT  - Pancreatic ductal adenocarcinoma
OT  - Risk factors
OT  - Smoking history
EDAT- 2017/12/20 06:00
MHDA- 2017/12/22 06:00
CRDT- 2017/12/20 06:00
PHST- 2017/12/20 06:00 [entrez]
PHST- 2017/12/20 06:00 [pubmed]
PHST- 2017/12/22 06:00 [medline]
AID - 000481234 [pii]
AID - 10.1159/000481234 [doi]
PST - ppublish
SO  - Oncology. 2017;93 Suppl 1:102-106. doi: 10.1159/000481234. Epub 2017 Dec 20.