Evidence map›Paper›PMID 34889852›Full record

ArticleThe American journal of surgical pathology2022

Pathologic Examination of Pancreatic Specimens Resected for Treated Pancreatic Ductal Adenocarcinoma: Recommendations From the Pancreatobiliary Pathology Society.

Huamin Wang, Runjan Chetty, Mojgan Hosseini, Daniela S Allende, Irene Esposito, Yoko Matsuda, Vikram Deshpande, Jiaqi Shi, Deepti Dhall, Kee-Taek Jang and 10 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of surgical pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06054308 (Mesothelin-targeted CAR-T Cells as a Neo-adjuvant Treatment in Patients With Resectable Pancreatic Cancers), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 6% 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.

NCT06054308 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Mesothelin-targeted CAR-T Cells as a Neo-adjuvant Treatment in Patients With Resectable Pancreatic Cancers: a Feasibility Study

TypeinterventionalSponsorChinese University of Hong KongRan2024 to 2026Enrolled0ConditionsPancreatic CancerArmsMSLN CART
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  17. Neoadjuvant Chemotherapy Is Associated with Altered Immune Cell Infiltration and an Anti-Tumorigenic Microenvironment in Resected Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
  18. Long-Term Outcomes of Venous Resections in Pancreatic Ductal Adenocarcinoma Patients: A Nationwide Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  19. Article
  20. 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

20 authors at 15 institutions in 5 countries.

Huamin WangDepartment of Anatomical Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Runjan ChettyDeciphex Pty, Ltd. Dublin, Ireland.
Mojgan HosseiniDepartment of Pathology, University of California San Diego, La Jolla.
Daniela S AllendeDepartment of Pathology, Cleveland Clinic, Cleveland, OH.
Irene EspositoInstitute of Pathology, University Hospital of Duesseldorf, Duesseldorf, Germany.
Yoko MatsudaOncology Pathology, Department of Pathology and Host-Defense, Kagawa University, Kagawa, Japan.
Vikram DeshpandeDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Jiaqi ShiDepartment of Pathology & Clinical Labs, Rogel Cancer Center, University of Michigan, Ann Arbor, MI.
Deepti DhallDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL.
Kee-Taek JangDepartment of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Grace E KimDepartment of Pathology, University of California San Francisco, San Francisco, CA.
Claudio LuchiniDepartment of Pathology, University and Hospital Trust of Verona, Verona, Italy.
Rondell P GrahamDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Michelle D ReidDepartment of Pathology, Emory University Hospital, Atlanta, GA.
Olca BasturkDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Ralph H HrubanThe Sol Goldman Pancreatic Cancer Research Center, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Alyssa KrasinskasDepartment of Pathology, Emory University Hospital, Atlanta, GA.
David S KlimstraDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Volkan AdsayDepartment of Pathology, Koc University Hospital and KUTTAM Research Center, Istanbul, Turkey.
Pancreatobiliary Pathology Society
The University of Texas MD Anderson Cancer Center · USMassachusetts General Hospital · USCleveland Clinic · USDüsseldorf University Hospital · DEHarvard University · USHeinrich Heine University Düsseldorf · DEJohns Hopkins University · USKagawa University · JPKoç University · TRMayo Clinic in Arizona · USSungkyunkwan University · KRUniversity of Alabama at Birmingham · USUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Michigan–Ann Arbor · US

Funding

The RAS and P13K Pathways in Pancreatic AdenocarcinomaP01CA117969 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DEPINHO, RONALD ANTHONY · 2006 to 2025
$41.7M
Project 3: Inhibiting Oxidative Phosphorylation in Pancreatic CancerP50CA221707 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT, MAITRA, ANIRBAN · 2019 to 2023
$11.0M
Imaging and Molecular Correlates of Progression in Cystic Neoplasms of the PancreasU01CA196403 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MAITRA, ANIRBAN · 2015 to 2020
$5.8M
Clinical Significance of Pancreatic Cancer Differentiation and DedifferentiationR01CA195651 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WANG, HUAMIN · 2015 to 2021
$1.8M
Novel Signaling Pathways Regulating Pancreatic Cancer PathogenesisR01CA196941 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WANG, HUAMIN · 2016 to 2020
$1.8M
Linking epigenetic regulation and TGF-β signaling in pancreatic cancerK08CA234222 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHI, JIAQI · 2018 to 2021
$744k
NCI NIH HHS K08 CA234222NCI NIH HHS P01 CA117969NCI NIH HHS P50 CA221707NCI NIH HHS R01 CA195651NCI NIH HHS R01 CA196941NCI NIH HHS U01 CA196403
6 · The paper itself

Abstract

Currently, there are no internationally accepted consensus guidelines for pathologic evaluation of posttherapy pancreatectomy specimens. The Neoadjuvant Therapy Working Group of Pancreatobiliary Pathology Society was formed in 2018 to review grossing protocols, literature, and major issues and to develop recommendations for pathologic evaluation of posttherapy pancreatectomy specimens. The working group generated the following recommendations: (1) Systematic and standardized grossing and sampling protocols should be adopted for pancreatectomy specimens for treated pancreatic ductal adenocarcinoma (PDAC). (2) Consecutive mapping sections along the largest gross tumor dimension are recommended to validate tumor size by histology as required by the College of American Pathologists (CAP) cancer protocol. (3) Tumor size of treated PDACs should be measured microscopically as the largest dimension of tumor outer limits that is bound by viable tumor cells, including intervening stroma. (4) The MD Anderson grading system for tumor response has a better correlation with prognosis and better interobserver concordance among pathologists than does the CAP system. (5) A case should not be classified as a complete response unless the entire pancreas, peripancreatic tissues, ampulla of Vater, common bile duct, and duodenum adjacent to the pancreas are submitted for microscopic examination. (6) Future studies on tumor response of lymph node metastases, molecular and/or immunohistochemical markers, as well as application of artificial intelligence in grading tumor response of treated PDAC are needed. In summary, systematic, standardized pathologic evaluation, accurate tumor size measurement, and reproducible tumor response grading to neoadjuvant therapy are needed for optimal patient care. The criteria and discussions provided here may provide guidance towards these goals.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsArtificial IntelligenceHumansNeoadjuvant TherapyPancreatectomyPancreatic Ducts

Identifiers

PMID34889852
PMCPMC9106848
OpenAlexW4200035080

What OpenQuestion holds

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Registered trials

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.