Screening for pancreatic cancer-a compelling challenge.

Published on Apr 1, 2021in Hepatobiliary surgery and nutrition5.296
· DOI :10.21037/HBSN-20-861
Gabriele Capurso56
Estimated H-index: 56
Salvatore Paiella23
Estimated H-index: 23
Massimo Falconi105
Estimated H-index: 105
#1Gabriele Capurso (UniSR: Vita-Salute San Raffaele University)H-Index: 56
#2Salvatore Paiella (University of Verona)H-Index: 23
Last. Massimo FalconiH-Index: 105
view all 8 authors...
Abstract Pancreatic cancer is one of the main causes of cancer-related death worldwide, with a survival rate around 9%. In Italy 13,500 new cases of pancreatic cancer occurred in 2019. It is estimated that at least 5% have a hereditary background. Surveillance is advisable for healthy individuals with specific genetic syndromes with or without family history of pancreatic cancer or members of families with multiple cases of pancreatic cancer, irrespective of genetic syndromes. In 2010 the Italia...
#1Harry R. Aslanian (Yale University)H-Index: 28
#2Jeffrey H. Lee (University of Texas MD Anderson Cancer Center)H-Index: 47
Last. Marcia I. Canto (Johns Hopkins University)H-Index: 73
view all 3 authors...
Abstract Description The purpose of this best practice advice article is to describe the indications for screening for pancreas cancer in high risk individuals. Methods The evidence reviewed in this work is based on reports of pancreas cancer screening studies in high risk individuals and expert opinion Best Practice Advice 1 Pancreas cancer screening should be considered in patients determined to be at high risk, including first-degree relatives of patients with pancreas cancer with at least tw...
9 CitationsSource
#1Salvatore Paiella (University of Verona)H-Index: 23
#2Veronica Marinelli (University of Verona)H-Index: 9
Last. Roberto Salvia (University of Verona)H-Index: 52
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OBJECTIVE: Literature shows that emotional status can influence participation in screening/surveillance programs, and that screening/surveillance programs may alter the psychological well-being of subjects examined. This study aims to assess if participating in a surveillance program for pancreatic cancer early detection is associated with abnormal levels of psychological distress in high-risk individuals (HRIs), compared to the general population. METHODS: Fifty-four HRIs participating in a mag...
2 CitationsSource
#1Robert S O'Neill (St. Vincent's Health System)H-Index: 2
#1R. S. O’Neill (St. Vincent's Health System)H-Index: 2
Last. Alina Stoita (UNSW: University of New South Wales)H-Index: 6
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Screening for pancreatic cancer (PC) in high-risk groups aimed to detect early cancers is currently done only in the research setting, and data on psychological outcomes of screening in these populations is scarce. To determine the psychological impact of a national Australian pancreatic screening program, a prospective study was conducted using validated psychological measures: impact of events scale (IES), psychological consequences questionnaire (PCQ) and the cancer worry scale. Measures were...
3 CitationsSource
#1Salvatore Paiella (University of Verona)H-Index: 23
#2Gabriele CapursoH-Index: 56
Last. Alessandro ZerbiH-Index: 57
view all 19 authors...
Surveillance programs on high-risk individuals (HRIs) can detect pre-malignant lesions or early pancreatic cancer (PC). We report the results of the first screening round of the Italian multicenter program supported by the Italian Association for the study of the Pancreas (AISP). The multicenter surveillance program included asymptomatic HRIs with familial (FPC) or genetic frailty (GS: BRCA1/2, p16/CDKN2A, STK11/LKB1or PRSS1, mutated genes) predisposition to PC. The surveillance program included...
16 CitationsSource
#1Irina M. Cazacu (University of Texas MD Anderson Cancer Center)H-Index: 7
#2Adriana A. Luzuriaga Chavez (University of Texas MD Anderson Cancer Center)H-Index: 4
Last. Manoop S. Bhutani (University of Texas MD Anderson Cancer Center)H-Index: 54
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Background and Objectives: There is an increasing global interest in screening programs aiming to detect pancreatic cancer (PC) in an early and potentially curable stage. Concerns still remain as to whether screening would confer any survival benefit. Another approach to evaluate the benefits of the pancreatic screening programs would be to consider its impact on the quality of life of the individuals who at risk of developing cancer. The aim of this systematic review was to investigate the curr...
9 CitationsSource
#1Isaura S. Ibrahim (LEI: Leiden University)H-Index: 3
#2Martin N. J. M. Wasser (LEI: Leiden University)H-Index: 29
Last. Hans F. A. Vasen (LEI: Leiden University)H-Index: 116
view all 16 authors...
CDKN2A-p16-Leiden mutation carriers have a 20% to 25% risk of developing pancreatic ductal adenocarcinoma (PDAC). Better understanding of the natural course of PDAC might allow the surveillance protocol to be improved. The aims of the study were to evaluate the role of cystic precursor lesions in the development of PDAC and to assess the growth rate. In 2000, a surveillance program was initiated, consisting of annual MRI in carriers of a CDKN2A-p16-Leiden mutation. The study cohort included 204 ...
2 CitationsSource
#1Marcia I. Canto (Johns Hopkins University)H-Index: 73
#2Jose Alejandro Almario (Johns Hopkins University)H-Index: 10
Last. Michael Goggins (Johns Hopkins University)H-Index: 118
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Background & Aims Screening of individuals who have a high risk of pancreatic ductal adenocarcinoma (PDAC), because of genetic factors, frequently leads to identification of pancreatic lesions. We investigated the incidence of PDAC and risk factors for neoplastic progression in individuals at high risk for PDAC enrolled in a long-term screening study. Methods We analyzed data from 354 individuals at high risk for PDAC (based on genetic factors of family history), enrolled in Cancer of the Pancre...
94 CitationsSource
#1Salvatore PaiellaH-Index: 23
Last. Claudio BassiH-Index: 110
view all 21 authors...
Abstract Background/Objectives Screening/surveillance programs for pancreatic cancer (PC) in familial high-risk individuals (FPC-HRI) have been widely reported, but their merits remain unclear. The data reported so far are heterogeneous—especially in terms of screening yield. We performed a systematic review and meta-analysis of currently available data coming from screening/surveillance programs to evaluate the proportion of screening goal achievement (SGA), overall surgery and unnecessary surg...
14 CitationsSource
#1Marianna SignorettiH-Index: 13
#2Marco J. Bruno (EUR: Erasmus University Rotterdam)H-Index: 23
Last. Gabriele CapursoH-Index: 56
view all 6 authors...
BackgroundData on surveillance for pancreatic ductal adenocarcinoma (PDAC) in high-risk individuals (HRIs) with “familial pancreatic cancer” (FPC) and specific syndromes are limited and heterogeneo...
18 CitationsSource
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