关键词: Family history IPMN Malignant progression Pancreatic ductal adenocarcinoma Past medical history

Mesh : Adult Aged Carcinoma, Pancreatic Ductal / diagnosis etiology pathology Disease Progression Female Humans Male Medical History Taking Middle Aged Neoplasm Grading Neoplasm Invasiveness Pancreatic Intraductal Neoplasms / diagnosis etiology pathology Pancreatic Neoplasms / diagnosis etiology pathology Retrospective Studies

来  源:   DOI:10.1016/j.amjsurg.2017.11.014

Abstract:
BACKGROUND: The aim of this study was to determine the association of PMH and FH of pancreatic (PDAC) and non-pancreatic cancers with IPMN malignant risk.
METHODS: A retrospective review of a prospective database of IPMN patients undergoing resection was performed to assess FH and PMH.
RESULTS: FH of PDAC was present in 13% of 362 included patients. Of these, 8% had at least one first degree relative (FDR) with PDAC. The rate of PDAC positive FH in non-invasive versus invasive IPMN patients was 14% and 8%, respectively (p = 0.3). In main duct IPMN patients, FH (44%) and PMH of non-pancreatic cancer (16%) was higher than that seen in branch duct IPMN (FH 29%; PMH 6%; p = 0.004 and 0.008).
CONCLUSIONS: FH of PDAC is not associated with IPMN malignant progression. FH and PMH of non-pancreatic cancer is associated with main duct IPMN, the subtype with the highest rate of invasive transformation.
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