Evidence map›Paper›PMID 29769629›Full record

ArticleEuropean journal of human genetics : EJHG2018

Risk of multiple pancreatic cancers in CDKN2A-p16-Leiden mutation carriers.

Isaura Ibrahim, Babs G Sibinga Mulder, Bert Bonsing, Hans Morreau, Arantza Farina Sarasqueta, Akin Inderson, Saskia Luelmo, Shirin Feshtali, Thomas P Potjer, Wouter de Vos Tot Nederveen Cappel and 2 more

Abstract readCase Reports
In one paragraph

Article in European journal of human genetics : EJHG, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Current status of inherited pancreatic cancer.Hereditary cancer in clinical practice · 2022
    Review
  4. The genetics of ductal adenocarcinoma of the pancreas in the year 2020: dramatic progress, but far to go.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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

12 authors.

Isaura IbrahimDepartment of Gastroenterology & Hepatology, Leiden University Medical Center, Leiden, The Netherlands. i.s.ibrahim@lumc.nl.ORCID http://orcid.org/0000-0002-6457-1502
Babs G Sibinga MulderDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Bert BonsingDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Hans MorreauDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Arantza Farina SarasquetaDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Akin IndersonDepartment of Gastroenterology & Hepatology, Leiden University Medical Center, Leiden, The Netherlands.
Saskia LuelmoDepartment of Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Shirin FeshtaliDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Thomas P PotjerDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-3831-6022
Wouter de Vos Tot Nederveen CappelDepartment of Gastroenterology & Hepatology, Isala Clinics, Zwolle, The Netherlands.
Martin WasserDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Hans F A VasenDepartment of Gastroenterology & Hepatology, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CDKN2A-p16-Leiden mutation carriers have a substantial risk of developing pancreatic ductal adenocarcinoma (PDAC). One of the main clinical features of hereditary cancer is the development of multiple cancers. Since 2000, we have run a surveillance program for CDKN2A-p16-Leiden mutation carriers. The patients are offered a yearly MRI with optionally endoscopic ultrasound. In patients with a confirmed lesion, usually, a partial resection of the pancreas is recommended. A total of 18 PDAC (8.3%) were detected in 218 mutation carriers. In this report, we describe two CDKN2A-p16-Leiden patients with a synchronous and metachronous PDAC. Including two previously-reported cases, we identified four patients with multiple PDAC: two of 18 patients within the surveillance program (11%) and two patients with a proven CDKN2A-p16-Leiden mutation not participating in the surveillance program. In conclusion, this study demonstrated a high risk of developing multiple PDAC in CDKN2A-p16-Leiden mutation carriers. After detecting a primary tumor, it is very important to exclude the presence of a second synchronous tumor. Moreover, after a partial pancreatectomy for PDAC, close surveillance is necessary. In view of the current findings, offering a total pancreatectomy might be an appropriate option in patients with an early PDAC.

Indexed as

HeterozygoteMutationAdenocarcinomaAgedCyclin-Dependent Kinase Inhibitor p16FemaleGenetic Predisposition to DiseaseHumansPancreatic NeoplasmsCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16

Identifiers

PMID29769629
PMCPMC6057932

What OpenQuestion holds

Textmetadata
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.