Evidence map›Paper›PMID 18266003›Full record

ReviewLangenbeck's archives of surgery2008

Molecular markers of pancreatic cancer: development and clinical relevance.

Lucia C Fry, Klaus Mönkemüller, Peter Malfertheiner

Abstract readReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Prognostic Value of Preoperative Serum Carcinoembryonic Antigen and Carbohydrate Antigen 19-9 After Resection of Ampullary Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. The Association between Survival and the Pathologic Features of Periampullary Tumors Varies over Time.HPB surgery : a world journal of hepatic, pancreatic and biliary surgery · 2014
    Article
  12. Biomarkers for pancreatic cancer: promising new markers and options beyond CA 19-9.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2013
    Review
  13. Novel methylation biomarker panel for the early detection of pancreatic cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Article
  14. Article
  15. Article
  16. Review
  17. Advances in biomarker research for pancreatic cancer.Current pharmaceutical design · 2012
    Review
  18. Article
  19. Proteomics in pancreatic cancer research.International journal of proteomics · 2011
    Article
  20. Elevated levels of CA 19-9 and CEA in pancreatic cancer-associated diabetes.Journal of cancer research and clinical oncology · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lucia C FryDivision of Gastroenterology, Otto-von-Guericke University, Magdeburg, Germany.
Klaus Mönkemüller
Peter Malfertheiner

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognosis of pancreatic cancer remains poor, mainly because of its aggressive biological behaviour and late clinical diagnosis, which precludes the application of appropriate curative therapies. Therefore, one of the major goals in clinical pancreatology is to find molecular markers, specific and sensitive enough to make an early and correct diagnosis of pancreatic cancer, before it has disseminated and become untreatable.

objectiveThis overview article explores the potential utility of current molecular markers for the diagnosis of pancreatic cancer.

resultsThere is a wide array of serum-based and tissue-based markers for pancreatic cancer. Serum-based molecular markers include CA 19-9, CA 125, M2-PK and secreted proteins. A tissue can be used to test genetic mutations such as K-ras, inactivation of tumour suppressor genes (e.g. p16, p53), mucins, telomerase activity, growth factors, DNA methylation, and global gene expression of cDNA microarrays, mitochondrial mutations and proteomics. None of these markers is currently useful for the detection of early pancreatic cancer. In clinical practice, the most commonly accepted use of CA 19-9 is to assess the prognosis and monitor the response to therapy.

conclusionsMany molecular markers have been proposed for the early diagnosis of PC, but most are not ready to be included as part of the routine diagnostic algorithm because they still lack sensitivity, specificity or reproducibility. CA 19-9 remains the most useful molecular marker for the diagnosis and follow-up of clinically and radiological evident pancreatic cancer.

Indexed as

AlgorithmsBiomarkers, TumorCA-19-9 AntigenCell Transformation, NeoplasticDNA MethylationDNA, MitochondrialDNA Mutational AnalysisFollow-Up StudiesGene Expression Regulation, NeoplasticGenes, rasHumansPancreatic NeoplasmsPredictive Value of TestsPrognosisProteomicsBiomarkers, TumorCA-19-9 AntigenDNA, Mitochondrial

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.