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Early onset pancreatic cancer : a controlled trial

Tingstedt, Bobby LU ; Weitkämper, Carl and Andersson, Roland LU (2011) In Annals of Gastroenterology 24(3). p.206-212
Abstract

BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) represents the fourth cause of death in cancer with a 5-year survival rate of less than 1-2%. Early onset pancreatic cancer (EOPC), i.e. patients below 50 years of age, is infrequently described. The present study aimed to determine the epidemiology, demographic incidence and prognosis of EOPC and to identify the characteristics that might distinguish EOPC.

METHODS: 576 consecutive patients with PDAC diagnosed from January 1993 to December 2008 at the University Hospital of Lund, Sweden. 65 different parameters were compared with a historic cohort of pancreatic cancer patients as well as with matched controls.

RESULTS: 33 patients (5.7%) with PDAC were 50 years or younger.... (More)

BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) represents the fourth cause of death in cancer with a 5-year survival rate of less than 1-2%. Early onset pancreatic cancer (EOPC), i.e. patients below 50 years of age, is infrequently described. The present study aimed to determine the epidemiology, demographic incidence and prognosis of EOPC and to identify the characteristics that might distinguish EOPC.

METHODS: 576 consecutive patients with PDAC diagnosed from January 1993 to December 2008 at the University Hospital of Lund, Sweden. 65 different parameters were compared with a historic cohort of pancreatic cancer patients as well as with matched controls.

RESULTS: 33 patients (5.7%) with PDAC were 50 years or younger. The overall survival was 170 days compared to 240 days for matched controls (p=n.s.). Patients with EOPC were diagnosed at a significantly more advanced stage, i.e. distant metastasis, (52%) as compared to matched controls (30%; p=0.04). EOPC-patients received more treatment than the compared PDAC-cohort.

CONCLUSION: EOPC constituted 5.7 % of all PDAC, presenting at an advanced stage with frequent metastases and poor survival. The role of genetic alterations and the potential influence of environmental factors for EOPC are to be further investigated.

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type
Contribution to journal
publication status
published
subject
in
Annals of Gastroenterology
volume
24
issue
3
pages
206 - 212
publisher
Hellenic Society of Gastroenterology
external identifiers
  • pmid:24713777
ISSN
1108-7471
language
English
LU publication?
yes
id
68a42922-3dd0-498b-b7fd-96f312fb2a34
alternative location
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959307/
date added to LUP
2024-09-30 13:08:33
date last changed
2024-10-01 07:58:38
@article{68a42922-3dd0-498b-b7fd-96f312fb2a34,
  abstract     = {{<p>BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) represents the fourth cause of death in cancer with a 5-year survival rate of less than 1-2%. Early onset pancreatic cancer (EOPC), i.e. patients below 50 years of age, is infrequently described. The present study aimed to determine the epidemiology, demographic incidence and prognosis of EOPC and to identify the characteristics that might distinguish EOPC.</p><p>METHODS: 576 consecutive patients with PDAC diagnosed from January 1993 to December 2008 at the University Hospital of Lund, Sweden. 65 different parameters were compared with a historic cohort of pancreatic cancer patients as well as with matched controls.</p><p>RESULTS: 33 patients (5.7%) with PDAC were 50 years or younger. The overall survival was 170 days compared to 240 days for matched controls (p=n.s.). Patients with EOPC were diagnosed at a significantly more advanced stage, i.e. distant metastasis, (52%) as compared to matched controls (30%; p=0.04). EOPC-patients received more treatment than the compared PDAC-cohort.</p><p>CONCLUSION: EOPC constituted 5.7 % of all PDAC, presenting at an advanced stage with frequent metastases and poor survival. The role of genetic alterations and the potential influence of environmental factors for EOPC are to be further investigated.</p>}},
  author       = {{Tingstedt, Bobby and Weitkämper, Carl and Andersson, Roland}},
  issn         = {{1108-7471}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{206--212}},
  publisher    = {{Hellenic Society of Gastroenterology}},
  series       = {{Annals of Gastroenterology}},
  title        = {{Early onset pancreatic cancer : a controlled trial}},
  url          = {{https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959307/}},
  volume       = {{24}},
  year         = {{2011}},
}