Skip to main content

The Prevention and Genetics of Pancreatic Cancer: A Programmatic Approach

  • Protocol
  • First Online:
Pancreatic Cancer

Part of the book series: Methods in Molecular Biology ((MIMB,volume 980))

Abstract

Pancreatic cancer (PC) is typically a fatal disease due to its rapid growth and the lack of early diagnostic ­techniques. Because approximately 10% of PCs are attributable to a hereditary susceptibility, identifying and studying patients with a family history of PC or known genetic predisposition to PC can improve the prevention, diagnosis, and treatment of PC. A skilled team of study investigators, physicians, genetic counselors, and data managers must work with patients and families to confidentially store and organize data from PC patients and high-risk patients. This data, collected in conjunction with patients’ tissue and blood specimens, will contribute to the understanding of the biology, etiology, and epidemiology of PC, and can ultimately improve screening and management for patients with an underlying hereditary predisposition to PC.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Michaud DS (2004) Epidemiology of pancreatic cancer. Minerva Chir 59:99–111

    PubMed  CAS  Google Scholar 

  2. American Cancer Society. Cancer Facts & Figures 2012. Atlanta: American Cancer Society; 2012

    Google Scholar 

  3. Brand RE et al (2007) Advances in counselling and surveillance of patients at risk for pancreatic cancer. Gut 56:1460–1469

    Article  PubMed  Google Scholar 

  4. Kohler BA et al (2011) Annual report to the nation on the status of cancer, 1975–2007, featuring tumors of the brain and other nervous system. J Natl Cancer Inst 103:714–736

    Article  PubMed  Google Scholar 

  5. Langer P et al (2009) Five years of prospective screening of high-risk individuals from families with familial pancreatic cancer. Gut 58:1410–1418

    Article  PubMed  CAS  Google Scholar 

  6. Verna EC et al (2010) Pancreatic cancer screening in a prospective cohort of high-risk patients: a comprehensive strategy of imaging and genetics. Clin Cancer Res 16:5028–5037

    Article  PubMed  Google Scholar 

  7. Kimmey MB et al (2002) Screening and surveillance for hereditary pancreatic cancer. Gastrointest Endosc 56:S82–S86

    Article  PubMed  Google Scholar 

  8. Canto MI et al (2004) Screening for pancreatic neoplasia in high-risk individuals: an EUS-based approach. Clin Gastroenterol Hepatol 2:606–621

    Article  PubMed  Google Scholar 

  9. Poley JW et al (2009) The yield of first-time endoscopic ultrasonography in screening individuals at a high risk of developing pancreatic cancer. Am J Gastroenterol 104:2175–2181

    Article  PubMed  CAS  Google Scholar 

  10. Ghadirian P et al (1991) Reported family aggregation of pancreatic cancer within a population-based case-control study in the Francophone community in Montreal, Canada. Int J Pancreatol 10:183–196

    PubMed  CAS  Google Scholar 

  11. Tersmette AC et al (2001) Increased risk of incident pancreatic cancer among first-degree relatives of patients with familial pancreatic cancer. Clin Cancer Res 7:738–744

    PubMed  CAS  Google Scholar 

  12. Falk RT, Pickle LW, Fontham ET, Correa P, Fraumeni JF Jr (1988) Life-style risk factors for pancreatic cancer in Louisiana: a case-control study. Am J Epidemiol 128:324–336

    PubMed  CAS  Google Scholar 

  13. Fernandez E, La Vecchia C, D’Avanzo B, Negri E, Franceschi S (1994) Family history and the risk of liver, gallbladder, and pancreatic cancer. Cancer Epidemiol Biomarkers Prev 3:209–212

    PubMed  CAS  Google Scholar 

  14. Silverman DT, Schiffman M, Everhart J, Goldstein A et al (1999) Diabetes mellitus, other medical conditions and familial history of cancer as risk factors for pancreatic cancer. Br J Cancer 80:1830–1837

    Article  PubMed  CAS  Google Scholar 

  15. Grover S, Syngal S (2010) Hereditary pancreatic cancer. Gastroenterology 139:1076–1080, 1080 e1071-1072

    Article  PubMed  Google Scholar 

  16. Lynch HT, Fusaro RM (1991) Pancreatic ­cancer and the familial atypical multiple mole melanoma (FAMMM) syndrome. Pancreas 6:127–131

    Article  PubMed  CAS  Google Scholar 

  17. Giardiello FM, Brensinger JD, Tersmette AC, Goodman SN et al (2000) Very high risk of cancer in familial Peutz-Jeghers syndrome. Gastroenterology 119:1447–1453

    Article  PubMed  CAS  Google Scholar 

  18. Lowenfels AB, Maisonneuve P, DiMagno EP et al (1997) Hereditary pancreatitis and the risk of pancreatic cancer. International Hereditary Pancreatitis Study Group. J Natl Cancer Inst 89:442–446

    Article  PubMed  CAS  Google Scholar 

  19. Schneider R, Slater EP, Sina M et al (2011) German national case collection for familial pancreatic cancer (FaPaCa): ten years experience. Fam Cancer 10:323–330

    Article  PubMed  Google Scholar 

  20. Jones S, Hruban RH, Kamiyama M, Borges M et al (2009) Exomic sequencing identifies PALB2 as a pancreatic cancer susceptibility gene. Science 324:217

    Article  PubMed  CAS  Google Scholar 

  21. Lynch HT, Smyrk T, Kern SE, Hruban RH et al (1996) Familial pancreatic cancer: a review. Semin Oncol 23:251–275

    PubMed  CAS  Google Scholar 

  22. Evans JP, Burke W, Chen R, Bennett RL et al (1995) Familial pancreatic adenocarcinoma: association with diabetes and early molecular diagnosis. J Med Genet 32:330–335

    Article  PubMed  CAS  Google Scholar 

  23. Hruban RH, Petersen GM, Ha PK, Kern SE (1998) Genetics of pancreatic cancer. From genes to families. Surg Oncol Clin N Am 7:1–23

    PubMed  CAS  Google Scholar 

  24. Hahn SA, Greenhalf B, Ellis I, Sina-Frey M et al (2003) BRCA2 germline mutations in familial pancreatic carcinoma. J Natl Cancer Inst 95:214–221

    Article  PubMed  CAS  Google Scholar 

  25. Lynch HT, Brand RE, Deters CA et al (2001) Hereditary pancreatic cancer. Pancreatology 1:466–471

    Article  PubMed  CAS  Google Scholar 

  26. Applebaum SE, Kant JA, Whitcomb DC, Ellis IH (2000) Genetic testing. Counseling, laboratory, and regulatory issues and the EUROPAC protocol for ethical research in multicenter studies of inherited pancreatic diseases. Med Clin North Am 84:575–588, viii

    Article  PubMed  CAS  Google Scholar 

  27. Klein AP, Beaty TH, Bailey-Wilson JE, Brune KA, Hruban RH, Petersen GM (2002) Evidence for a major gene influencing risk of pancreatic cancer. Genet Epidemiol 23:133–149

    Article  PubMed  Google Scholar 

  28. Schenk M, Schwartz AG, O’Neal E, Kinnard M et al (2001) Familial risk of pancreatic cancer. J Natl Cancer Inst 93:640–644

    Article  PubMed  CAS  Google Scholar 

  29. Real FX (2003) A “catastrophic hypothesis” for pancreas cancer progression. Gastroenterology 124:1958–1964

    Article  PubMed  Google Scholar 

  30. Hruban RH, Adsay NV, Albores-Saavedra J, Compton C et al (2001) Pancreatic intraepithelial neoplasia: a new nomenclature and classification system for pancreatic duct lesions. Am J Surg Pathol 25:579–586

    Article  PubMed  CAS  Google Scholar 

  31. Del Chiaro M, Zerbi A, Capurso G, Zamboni G et al (2010) Familial pancreatic cancer in Italy. Risk assessment, screening programs and clinical approach: a position paper from the Italian Registry. Dig Liver Dis 42:597–605

    Article  PubMed  Google Scholar 

  32. Brune K, Abe T, Canto M, O’Malley L, Klein AP et al (2006) Multifocal neoplastic precursor lesions associated with lobular atrophy of the pancreas in patients having a strong family history of pancreatic cancer. Am J Surg Pathol 30:1067–1076

    PubMed  Google Scholar 

  33. Tanaka M, Chari S, Adsay V, Fernandez-del Castillo C et al (2006) International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas. Pancreatology 6:17–32

    Article  PubMed  Google Scholar 

  34. Tanaka M, Fernandez-del Castillo C, Adsay V, et al (2012) International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology 12:183–97.

    Article  PubMed  CAS  Google Scholar 

  35. Sipos B, Frank S, Gress T, Hahn S, Kloppel G (2009) Pancreatic intraepithelial neoplasia revisited and updated. Pancreatology 9:45–54

    Article  PubMed  CAS  Google Scholar 

  36. Ariyama J, Suyama M, Satoh K, Sai J (1998) Imaging of small pancreatic ductal adenocarcinoma. Pancreas 16:396–401

    Article  PubMed  CAS  Google Scholar 

  37. Hudson KL (2011) Genomics, health care, and society. N Engl J Med 365:1033–1041

    Article  PubMed  CAS  Google Scholar 

  38. Canto MI, Harinck F, Hruban RH, et al. International Cancer of the Pancreas Screening (CAPS) Consortium summit on the management of patients with increased risk for familial pancreatic cancer. Gut 2012

    Article  PubMed  Google Scholar 

  39. O.H.R.P 2008 Protections. Guidance on Research Involving Coded Private Information or Biological Specimens

    Google Scholar 

  40. Farnell MB (2008) Surgical management of intraductal papillary mucinous neoplasm (IPMN) of the pancreas. J Gastrointest Surg 12:414–416

    Article  PubMed  Google Scholar 

  41. Walsh RM, Henderson JM, Vogt DP, Baker ME et al (2002) Prospective preoperative determination of mucinos pancreatic cystic neoplasms. Surgery 132:628–633, discussion 633–624

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harold Frucht .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media, LLC

About this protocol

Cite this protocol

Lucas, A.L., Chang, M.M., Lipsyc, M.D., Frucht, H. (2013). The Prevention and Genetics of Pancreatic Cancer: A Programmatic Approach. In: Su, G. (eds) Pancreatic Cancer. Methods in Molecular Biology, vol 980. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-287-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-62703-287-2_10

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-286-5

  • Online ISBN: 978-1-62703-287-2

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics