Evidence map›Paper›PMID 28772284›Full record

ArticleBritish journal of cancer2017

Diagnostic value of CA19.9, circulating tumour DNA and circulating tumour cells in patients with solid pancreatic tumours.

David Sefrioui, France Blanchard, Emmanuel Toure, Paul Basile, Ludivine Beaussire, Claire Dolfus, Anne Perdrix, Marianne Paresy, Michel Antonietti, Isabelle Iwanicki-Caron and 12 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 4% of its field
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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Pooled it
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  8. Review: Detection of Cancer Biomarkers from a Clinical Perspective.International journal of molecular sciences · 2025
    Review
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  10. ctDNA in Pancreatic Adenocarcinoma: A Critical Appraisal.Current oncology (Toronto, Ont.) · 2025
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15 more citing papers are in PubMed but not listed here.

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

22 authors at 3 institutions in 1 country.

David SefriouiDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
France BlanchardDepartment of Pathology, Iron group, Rouen University Hospital, 1 Rue de Germont, Rouen, Cedex 76031, France.
Emmanuel ToureDepartment of Pathology, Iron group, Rouen University Hospital, 1 Rue de Germont, Rouen, Cedex 76031, France.
Paul BasileDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Ludivine BeaussireNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Claire DolfusDepartment of Pathology, Iron group, Rouen University Hospital, 1 Rue de Germont, Rouen, Cedex 76031, France.
Anne PerdrixNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Marianne ParesyDepartment of Pathology, Iron group, Rouen University Hospital, 1 Rue de Germont, Rouen, Cedex 76031, France.
Michel AntoniettiDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Isabelle Iwanicki-CaronDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Raied AlhameediDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Stephane LecleireDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Alice GangloffDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Lilian SchwarzDepartment of Surgery, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Florian ClatotNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Jean-Jacques TuechDepartment of Surgery, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Thierry FrébourgNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Fabrice JardinNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Jean-Christophe SabourinNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Nasrin Sarafan-VasseurNormandie University, UNIROUEN, Inserm U1245, Team 3, IRON group, Rouen University Hospital, Normandy Centre for Genomic and Personalized Medicine, F 76000, Rouen, France.
Pierre MichelDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Frédéric Di FioreDigestive Oncology Unit, Department of Hepatogastroenterology, Rouen University Hospital, 1 Rue de Germont, Rouen 76031, France.
Université de Rouen Normandie · FRInserm · FRNormandie Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe direct comparison of CA19.9, circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA) using endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has never been performed for the diagnosis of solid pancreatic tumours (SPTs).

methodsWe included 68 patients with a SPT referred for EUS-FNA. CTCs were analysed using size-based platform and ctDNA using digital PCR. The sensitivity, specificity, negative and positive predictive values were evaluated for each marker and their combination.

resultsSPTs corresponded to 58 malignant tumours (52 pancreatic adenocarcinoma (PA) and 6 others) and 10 benign lesions. The sensitivity and specificity for PA diagnosis were 73% and 88% for EUS-FNA, 67% and 80% for CTC, 65% and 75% for ctDNA and 79% and 93% for CA19.9, respectively. The positivity of at least 2 markers was associated with a sensitivity and specificity of 78% and 91%, respectively. CtDNA was the only marker associated with overall survival (median 5.2 months for ctDNA+ vs 11.0 months for ctDNA-, P=0.01).

conclusionsCA19.9 alone and in combination with ctDNA and/or CTC analysis may represent an efficient method for diagnosing PA in patients with SPTs. Further studies including a larger cohort of patients with both malignant and benign lesions will be necessary to confirm these promising results.

Indexed as

Neoplastic Cells, CirculatingAdenocarcinomaAdolescentAdultAgedAged, 80 and overBiomarkers, TumorCA-19-9 AntigenDNA, NeoplasmEndoscopic Ultrasound-Guided Fine Needle AspirationFemaleFollow-Up StudiesHumansMaleMiddle AgedPancreatic NeoplasmsBiomarkers, TumorCA-19-9 AntigenDNA, NeoplasmKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID28772284
PMCPMC5625666
OpenAlexW2742489768

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.