Pancreatic cancer causing acute pancreatitis: a comparative study with cancer patients without pancreatitis and pancreatitis patients without cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-03-14

AUTHORS

Yohei Minato, Terumi Kamisawa, Taku Tabata, Seiichi Hara, Sawako Kuruma, Kazuro Chiba, Go Kuwata, Takashi Fujiwara, Hideto Egashira, Koichi Koizumi, Itaru Saito, Yuka Endo, Satomi Koizumi, Junko Fujiwara, Takeo Arakawa, Kumiko Momma, Masanao Kurata, Goro Honda

ABSTRACT

Background/purposeAlthough pancreatic cancer produces upstream obstructive pancreatitis, acute pancreatitis is a less common manifestation of pancreatic cancer. This study aimed to clarify the subgroup of pancreatic cancer patients who present with an episode of acute pancreatitis (Group I) in comparison with a matched group of pancreatic cancer patients without pancreatitis (Group II) and another group of acute pancreatitis patients without pancreatic cancer (Group III).MethodsThis was a retrospective comparative study of 18 patients in Group I, 300 patients in Group II and 141 patients in Group III.ResultsThe mean age of Group I was 63.7 years and the male to female ration was 1:0.3. Serum CA 19-9 levels were elevated in 80 %. The main pancreatic duct was incompletely obstructed in 7 patients. There were no significant differences in location of tumor, clinical stage, resection rate and survival months between Group I and II. Acute pancreatitis secondary to pancreatic cancer was more likely to be mild (94 vs. 72 %, p < 0.05) and relapsed (39 vs. 16 %, p < 0.05) compared with Group III.ConclusionsAnatomic evaluation of the pancreas should be performed in patients with acute pancreatitis with no obvious etiology, even if the pancreatitis is mild, to search for underlying malignancy. More... »

PAGES

628-633

References to SciGraph publications

  • 2008-01-01. The Clinical Assessment of Pancreatic Cancer in DISEASES OF THE PANCREAS
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    http://scigraph.springernature.com/pub.10.1007/s00534-013-0598-y

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    http://dx.doi.org/10.1007/s00534-013-0598-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1041420917

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23494612


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    21 schema:datePublished 2013-03-14
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    23 schema:description Background/purposeAlthough pancreatic cancer produces upstream obstructive pancreatitis, acute pancreatitis is a less common manifestation of pancreatic cancer. This study aimed to clarify the subgroup of pancreatic cancer patients who present with an episode of acute pancreatitis (Group I) in comparison with a matched group of pancreatic cancer patients without pancreatitis (Group II) and another group of acute pancreatitis patients without pancreatic cancer (Group III).MethodsThis was a retrospective comparative study of 18 patients in Group I, 300 patients in Group II and 141 patients in Group III.ResultsThe mean age of Group I was 63.7 years and the male to female ration was 1:0.3. Serum CA 19-9 levels were elevated in 80 %. The main pancreatic duct was incompletely obstructed in 7 patients. There were no significant differences in location of tumor, clinical stage, resection rate and survival months between Group I and II. Acute pancreatitis secondary to pancreatic cancer was more likely to be mild (94 vs. 72 %, p < 0.05) and relapsed (39 vs. 16 %, p < 0.05) compared with Group III.ConclusionsAnatomic evaluation of the pancreas should be performed in patients with acute pancreatitis with no obvious etiology, even if the pancreatitis is mild, to search for underlying malignancy.
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    31 MethodsThis
    32 ResultsThe mean age
    33 acute pancreatitis
    34 acute pancreatitis patients
    35 age
    36 cancer
    37 cancer patients
    38 clinical stage
    39 common manifestation
    40 comparative study
    41 comparison
    42 differences
    43 duct
    44 episodes
    45 etiology
    46 evaluation
    47 female ration
    48 group
    49 group I
    50 group II
    51 group III
    52 levels
    53 location
    54 location of tumor
    55 main pancreatic duct
    56 males
    57 malignancy
    58 manifestations
    59 mean age
    60 months
    61 obstructive pancreatitis
    62 obvious etiology
    63 pancreas
    64 pancreatic cancer
    65 pancreatic cancer patients
    66 pancreatic duct
    67 pancreatitis
    68 pancreatitis patients
    69 patients
    70 rate
    71 ration
    72 resection rate
    73 retrospective comparative study
    74 serum CA 19
    75 significant differences
    76 stage
    77 study
    78 subgroups
    79 survival months
    80 tumors
    81 years
    82 schema:name Pancreatic cancer causing acute pancreatitis: a comparative study with cancer patients without pancreatitis and pancreatitis patients without cancer
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