Presentation
Conversely, GNAS mutations were less likely to be present in the liver but were more often detected in lung metastases. [targetedonc.com]
In our present patient, the development of a mass within 3 months showed clear and rapid progression. [karger.com]
New onset diabetes in an adult patient that is otherwise healthy is also an uncommon presentation of PDAC, and one that carries a poor prognosis. [pancreapedia.org]
The presence and location of metastasis, when present, was noted. [ajronline.org]
In this review, we present the current status and the recent advances in PDAC treatment together with the biological and immunological hallmarks of this cancer entity. [sfb1321.med.tum.de]
Entire Body System
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Asymptomatic
Although these data are encouraging, PDAC is usually asymptomatic, and the disease only becomes apparent after the tumor invades surrounding tissues or metastasizes to distant organs [ 6 ]. [journals.plos.org]
[…] non-functioning types. [23] Somewhere between 45% and 90% of PanNETs are thought to be of the non-functioning types. [19] [26] Studies of autopsies have uncovered small PanNETs rather frequently, suggesting that the prevalence of tumors that remain inert and asymptomatic [en.wikipedia.org]
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Dentist
All hospitals and pathology and haematology laboratories as well as dentists submit mandatory data on cancer patients to the cancer registry. Additional data on survival and cause of death were obtained from Statistics Finland. [gut.bmj.com]
Psychiatrical
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Withdrawn
Pancreatic Cancer Recruiting NCT03401827 Phase 4 Chemotherapy (Gemcitabine nab-paclitaxel) 2 Prevention of Upper Gastrointestinal Hemorrhage Using Albis in the Patients of Locally Advanced Pancreatic Cancer Who Underwent Concurrent Chemoradiotherapy Withdrawn [malacards.org]
Neurologic
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Asthenia
More specifically, one study has reported the following frequency of sign and symptoms in patients with PDAC, in descending order (13): Weakness/fatigue (asthenia)—86% Loss of appetite (anorexia)—85% Weight loss—85% Abdominal pain—79% Dark urine—59% Jaundice [pancreapedia.org]
Workup
Karger AG, Basel Introduction Pancreatic duct (PD) stricture and dilatation without a mass lesion are known to be signs of pancreatic carcinoma in situ, and their appearance necessitates an intensive workup, including endoscopic sampling of pancreatic [karger.com]
Microbiology
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Listeria Monocytogenes
A randomized clinical trial testing repeated immunization with a Listeria monocytogenes-based vaccine encoding for mesothelin in combination with a GM-CSF-transfected allogeneic pancreatic cell vaccine reports no survival benefit for the vaccinated patients [clincancerres.aacrjournals.org]
Treatment
Towards an optimal treatment algorithm for metastatic pancreatic ductal adenocarcinoma (PDA) Abstract Chemotherapy remains the mainstay of treatment for advanced pancreatic ductal adenocarcinoma (pda). [current-oncology.com]
In this review, we present the current status and the recent advances in PDAC treatment together with the biological and immunological hallmarks of this cancer entity. [sfb1321.med.tum.de]
These tools lead to more efficient and effective treatments, shorter treatment times, pinpoint accuracy in tumor targeting, and less damage to surrounding healthy tissue. More cancer clinical trials than any other South Florida hospital. [umiamihealth.org]
[…] of Patients With Advanced Pancreatic Cancer Unknown status NCT02124317 Phase 2 nanoparticle albumin-bound paclitaxel;S-1 12 Phase II Trial of Nab-paclitaxel Plus Gemcitabine in First-line Treatment of Chinese Patients With Advanced Pancreatic Cancer [malacards.org]
In fact, it is often difficult even for the most experienced practitioner to discern treatment-related toxicity from disease-related toxicities, especially in the early phase of treatment. [ascopubs.org]
Prognosis
The AJCC staging system is most commonly used to determine prognosis (see “Prognosis” section). Further information regarding staging is publically available through the website of the National Cancer Institute ( ). [pancreapedia.org]
Investigation of the interactions between smoking and a comprehensive set of candidate genes on PDAC prognosis awaits larger cohort studies. [clinchem.aaccjnls.org]
[…] future perspectives of combined modality treatment approaches Orth M, Metzger P, Gerum S, Mayerle J, Schneider G, Belka C, Schnurr M, Lauber K Radiat Oncol 2019, 14(1):141 Pancreatic ductal adenocarcinoma (PDAC) is a highly devastating disease with poor prognosis [sfb1321.med.tum.de]
As mentioned previously, PD-L1 expression correlates with poor prognosis and decreased CD4 and CD8 T cell infiltration within the tumor. [clinicaltrials.gov]
More than 90% of pancreatic cancers are ductal adenocarcinomas (PDAC), which are known for their extremely poor prognosis, whereas other types of pancreatic malignant tumours may have a more favourable prognosis. [gut.bmj.com]
Etiology
[…] at diagnosis Body / tail tumors: typically larger at diagnosis since these tumors do not cause symptoms until late; 25% have peripheral venous thrombi; metastases common Rarely arises from heterotopic pancreatic tissue in the gastrointestinal tract Etiology [pathologyoutlines.com]
Variant profiling is crucial for developing personalized treatment and elucidating the etiology of this disease. [clinchem.aaccjnls.org]
Epidemiology
DESIGN: Patient age, tumour size, stage and demographic information were analysed for 13 131 patients with pancreatic ductal adenocarcinoma entered into the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) database. [snfge.org]
Demographics, Epidemiology, and Inheritance of Pancreatic Ductal Adenocarcinoma. Semin Oncol 42(1):8-18, 2015. PMID: 2572604. [pancreapedia.org]
"Epidemiology of pancreatic cancer". Epidemiology of Chronic Disease. Jones & Bartlett. pp. 181–190. ISBN 978-0-7637-8047-0. [en.wikipedia.org]
Pathophysiology
Recently, increasing evidence has shown that DWI has the potential to serve as a radiologic biomarker that is valuable for characterizing the pathophysiologic processes of various types of malignancies [ 12, 13 ]. [ajronline.org]
The evidence is stronger for a link with heavy drinking, of at least six drinks per day. [3] [41] Pathophysiology [ edit ] Micrograph of pancreatic ductal adenocarcinoma (the most common type of pancreatic cancer). [en.wikipedia.org]
Prevention
Researchers have developed a new drug called Matavert that could prevent the most common type of pancreatic cancer from growing and spreading. [pancreaticcanceraction.org]
[expand title ”Show Affiliations”] 1 Centre for Molecular Oncology, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom. 2 Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London [medicineinnovates.com]
The team earned this distinction through its outstanding work conducting research in its laboratories, treating patients in its clinics and hospitals, and reaching out to medically underserved communities with innovative prevention strategies. [umiamihealth.org]
After surgery, chemotherapy is described as “adjuvant”: it seeks to eliminate residual cancer cells, and thus prevent relapse. [servier.com]
1 The Effect of Gemcitabine Plus Nab-paclitaxel as Secondary Chemotherapy in Advanced Pancreatic Cancer Recruiting NCT03401827 Phase 4 Chemotherapy (Gemcitabine nab-paclitaxel) 2 Prevention of Upper Gastrointestinal Hemorrhage Using Albis in the Patients [malacards.org]