Cancer surveillance of patients from familial pancreatic cancer kindreds

被引:47
作者
Brentnall, TA [1 ]
机构
[1] Univ Washington, Med Ctr, Div Gastroenterol, Dept Med, Seattle, WA 98195 USA
关键词
D O I
10.1016/S0025-7125(05)70253-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
At least 10% of pancreatic cancer cases are due to an inherited predisposition. The precursor lesion to pancreatic cancer is dysplasia. Endoscopic surveillance of high-risk families who inherit pancreatic cancer can be performed at centers experienced in early diagnosis of pancreatic neoplasia. Endoscopic ultrasound and ERCP can help identify patients who have pancreatic cancer and determine if a pancreatectomy is warranted. Careful selection of patients, the timing of the operation, and an experienced team of gastroenterologists, pancreatic surgeons, pathologists and diabetologists are the key to a good surveillance program.
引用
收藏
页码:707 / +
页数:13
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共 38 条
[1]  
BARBOSA JJD, 1946, SURG GYNECOL OBSTET, V82, P527
[2]   Progression of pancreatic intraductal neoplasias to infiltrating adenocarcinoma of the pancreas [J].
Brat, DJ ;
Lillemoe, KD ;
Yeo, CJ ;
Warfield, PB ;
Hruban, RH .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1998, 22 (02) :163-169
[3]  
Brentnall TA, 1999, ANN INTERN MED, V131, P247, DOI 10.7326/0003-4819-131-4-199908170-00003
[4]   HETEROTOPIC PANCREATIC TISSUE - REPORT OF A CASE PRESENTING SYMPTOMS OF ULCER AND REVIEW OF THE RECENT LITERATURE [J].
BUSARD, JM ;
WALTERS, W .
ARCHIVES OF SURGERY, 1950, 60 (04) :674-682
[5]  
CUBILLA AL, 1976, CANCER RES, V36, P2690
[6]  
Enterline H T, 1976, Curr Top Pathol, V63, P95
[7]   FAMILIAL PANCREATIC ADENOCARCINOMA - ASSOCIATION WITH DIABETES AND EARLY MOLECULAR DIAGNOSIS [J].
EVANS, JP ;
BURKE, W ;
CHEN, R ;
BENNETT, RL ;
SCHMIDT, RA ;
DELLINGER, EP ;
KIMMEY, M ;
CRISPIN, D ;
BRENTNALL, TA ;
BYRD, DR .
JOURNAL OF MEDICAL GENETICS, 1995, 32 (05) :330-335
[8]  
Fukushige S, 1998, CANCER RES, V58, P4222
[9]   Long-term follow-up of patients with chronic pancreatitis and K-ras gene mutation detected in pancreatic juice [J].
Furuya, N ;
Kawa, S ;
Akamatsu, T ;
Furihata, K .
GASTROENTEROLOGY, 1997, 113 (02) :593-598
[10]   INCREASED RISK OF CANCER IN THE PEUTZ-JEGHERS SYNDROME [J].
GIARDIELLO, FM ;
WELSH, SB ;
HAMILTON, SR ;
OFFERHAUS, GJA ;
GITTELSOHN, AM ;
BOOKER, SV ;
KRUSH, AJ ;
YARDLEY, JH ;
LUK, GD .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (24) :1511-1514