Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions

Pancreatic cancer is one of the most lethal human malignancies, in part because it is often diagnosed at late stages when surgery and systemic therapies are either unfeasible or ineffective. Therefore, diagnosing pancreatic cancer in earlier stages is important for effective treatment. However, beca...

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Main Authors: Reiko Yamada, Junya Tsuboi, Yumi Murashima, Takamitsu Tanaka, Kenji Nose, Hayato Nakagawa
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/6/1687
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author Reiko Yamada
Junya Tsuboi
Yumi Murashima
Takamitsu Tanaka
Kenji Nose
Hayato Nakagawa
author_facet Reiko Yamada
Junya Tsuboi
Yumi Murashima
Takamitsu Tanaka
Kenji Nose
Hayato Nakagawa
author_sort Reiko Yamada
collection DOAJ
description Pancreatic cancer is one of the most lethal human malignancies, in part because it is often diagnosed at late stages when surgery and systemic therapies are either unfeasible or ineffective. Therefore, diagnosing pancreatic cancer in earlier stages is important for effective treatment. However, because the signs and symptoms may be nonspecific and not apparent until the disease is at a late stage, the timely diagnoses of pancreatic cancer can be difficult to achieve. Recent studies have shown that selective screening and increased usage of biomarkers could improve the early diagnosis of pancreatic cancer. In this review, we discuss recent advancements in the early detection of pancreatic ductal carcinoma and precancerous lesions. These include innovations in imaging modalities, the diagnostic utility of various biomarkers, biopsy techniques, and population-based surveillance approaches. Additionally, we discuss how machine learning methods are being applied to develop integrated methods of identifying individuals at high risk of developing pancreatic disease. In the future, the overall survival of pancreatic cancer patients could be improved by the development and adoption of these new methods and techniques.
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spelling doaj.art-fce3e51e99d04a7ea5743b77d2bc099b2023-11-18T09:26:48ZengMDPI AGBiomedicines2227-90592023-06-01116168710.3390/biomedicines11061687Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic LesionsReiko Yamada0Junya Tsuboi1Yumi Murashima2Takamitsu Tanaka3Kenji Nose4Hayato Nakagawa5Department of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Mie University, Tsu 514-8507, JapanPancreatic cancer is one of the most lethal human malignancies, in part because it is often diagnosed at late stages when surgery and systemic therapies are either unfeasible or ineffective. Therefore, diagnosing pancreatic cancer in earlier stages is important for effective treatment. However, because the signs and symptoms may be nonspecific and not apparent until the disease is at a late stage, the timely diagnoses of pancreatic cancer can be difficult to achieve. Recent studies have shown that selective screening and increased usage of biomarkers could improve the early diagnosis of pancreatic cancer. In this review, we discuss recent advancements in the early detection of pancreatic ductal carcinoma and precancerous lesions. These include innovations in imaging modalities, the diagnostic utility of various biomarkers, biopsy techniques, and population-based surveillance approaches. Additionally, we discuss how machine learning methods are being applied to develop integrated methods of identifying individuals at high risk of developing pancreatic disease. In the future, the overall survival of pancreatic cancer patients could be improved by the development and adoption of these new methods and techniques.https://www.mdpi.com/2227-9059/11/6/1687pancreatic cancerdiagnosticsbiomarkershereditary conditionsEUSEUS-FNA
spellingShingle Reiko Yamada
Junya Tsuboi
Yumi Murashima
Takamitsu Tanaka
Kenji Nose
Hayato Nakagawa
Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
Biomedicines
pancreatic cancer
diagnostics
biomarkers
hereditary conditions
EUS
EUS-FNA
title Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
title_full Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
title_fullStr Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
title_full_unstemmed Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
title_short Advances in the Early Diagnosis of Pancreatic Ductal Adenocarcinoma and Premalignant Pancreatic Lesions
title_sort advances in the early diagnosis of pancreatic ductal adenocarcinoma and premalignant pancreatic lesions
topic pancreatic cancer
diagnostics
biomarkers
hereditary conditions
EUS
EUS-FNA
url https://www.mdpi.com/2227-9059/11/6/1687
work_keys_str_mv AT reikoyamada advancesintheearlydiagnosisofpancreaticductaladenocarcinomaandpremalignantpancreaticlesions
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