Evidence map›Paper›PMID 30565082›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

Still a place for conventional histopathological analysis in the era of molecular medicine: predicting prognosis of resectable ductal pancreatic adenocarcinoma.

M J Fernández Aceñero, J Martínez-Useros, L Díez-Valladares, S García-Botella, L Ortega Medina, E Pérez Aguirre, S de la Serna Esteban, E Latorre, L Neelsen

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

M J Fernández AceñeroDepartment of Surgical Pathology, Hospital Clínico San Carlos, Avda. Prof. Martín Lagos s/n, 28040, Madrid, Spain. mgg10167@gmail.com.ORCID http://orcid.org/0000-0002-2439-3553
J Martínez-UserosDepartment of Traslational Oncology, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain.
L Díez-ValladaresSurgery (Pancreatobiliary Unit), Hospital Clínico San Carlos, Madrid, Spain.
S García-BotellaSurgery (Pancreatobiliary Unit), Hospital Clínico San Carlos, Madrid, Spain.
L Ortega MedinaDepartment of Surgical Pathology, Hospital Clínico San Carlos, Avda. Prof. Martín Lagos s/n, 28040, Madrid, Spain.
E Pérez AguirreSurgery (Pancreatobiliary Unit), Hospital Clínico San Carlos, Madrid, Spain.
S de la Serna EstebanSurgery (Pancreatobiliary Unit), Hospital Clínico San Carlos, Madrid, Spain.
E LatorreDepartment of Surgical Pathology, Hospital Clínico San Carlos, Avda. Prof. Martín Lagos s/n, 28040, Madrid, Spain.
L NeelsenDepartment of Surgical Pathology, Hospital Clínico San Carlos, Avda. Prof. Martín Lagos s/n, 28040, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOur aim is to find features that define prognosis in surgically resected ductal pancreatic adenocarcinoma readily accessible in everyday practice. MATERIALS AND

methodsLongitudinal retrospective case series of pancreatic adenocarcinoma operated with a curative intent in a large tertiary hospital in Madrid between 2009 and 2015.

results162 were enrolled. 40.8% survived less than 1 year. Multivariate Cox's regression model revealed that gender, presence of symptoms, T and N stage independently influenced progression-free survival, while overall survival was determined by gender, smoking, presence of symptoms and N stage. Logistic regression analysis revealed that only symptoms at diagnosis could predict death, while gender, symptoms, histopathological type, vessel invasion, T stage and necrosis could independently predict recurrence. DISCUSSION: Our series show that patients with symptomatic disease at the time of diagnosis and females showed a shorter progression-free and overall survival. We herein propose a regression model to predict outcome.

Indexed as

Molecular MedicineAdenocarcinomaAgedCarcinoma, Pancreatic DuctalDisease ProgressionFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleNeoplasm Recurrence, LocalPancreatic NeoplasmsPancreaticoduodenectomyPrognosisRetrospective StudiesAdenocarcinomaPancreasPrognosisSurgical therapy

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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.