Pappas Sam, Federle Michael P, Lokshin Anna E, Zeh Herbert J
Division of Surgical Oncology, University of Pittsburgh, Suite 417 UPMC Cancer Pavilion 5150 Center Avenue, Pittsburgh, PA 15213, USA.
Gastroenterol Clin North Am. 2007 Jun;36(2):413-29, x. doi: 10.1016/j.gtc.2007.03.013.
Early diagnosis is likely to improve the outcome and survival in patients who have pancreatic cancer. The sensitivity and specificity of current screening methods, however, limit their applicability to individuals at high risk for developing pancreatic cancer. Further development of serum markers may lead to improved diagnostic accuracy and allow screening to be implemented more broadly. Proteomic profiling and evaluation of panels of markers hold particular promise for the future. This article provides a review of current methods and results for the early detection and staging of pancreatic cancer, and discusses some potential areas for future development.
早期诊断可能会改善胰腺癌患者的治疗结果和生存率。然而,目前筛查方法的敏感性和特异性限制了它们在胰腺癌高危个体中的应用。血清标志物的进一步开发可能会提高诊断准确性,并使筛查能够更广泛地实施。蛋白质组学分析和标志物组合的评估在未来具有特别的前景。本文综述了目前胰腺癌早期检测和分期的方法及结果,并讨论了一些未来可能的发展领域。