Evidence map›Paper›PMID 41117977›Full record

ReviewCancer metastasis reviews2025

Clinical subtypes of stage IV pancreatic ductal adenocarcinoma: a new perspective of clinical practices.

Yi-Fei Zhang, Wei Gan, Wen-Quan Wang, Liang Liu

Abstract readReview
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In one paragraph

Review in Cancer metastasis reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yi-Fei ZhangDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Wei GanDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Wen-Quan WangDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China. wang.wenquan@zs-hospital.sh.cn.
Liang LiuDepartment of Pancreatic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China. liu.liang@zs-hospital.sh.cn.

Funding

Beijing Xisike Clinical Oncology Research Foundation Y-2022METAZQN-0003Clinical Research of Zhongshan Hospital ZSLCYJ202329Liu Liang Expert Workstation of Yunnan Province 202305AF150148National Natural Science Foundation of China 82272929National Natural Science Foundation of China 82473459Program of Shanghai Academic/Technology Research Leader 23XD1400600Shanghai Anticancer Association EYAS PROJECT SACA-CY24B09Shanghai Magnolia Talent Plan Pujiang Programme 24PJD012Shanghai Municipal Health Commission 20244Y0023Shanghai Science and Technology Commission Innovative Pharmaceutical Products Application Demonstration Project 24SF1900300
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest malignancies and becomes an increasing burden on our society, with nearly half of patients presenting with metastasis at diagnosis and a mortality rate that continues to rise during the past decade. Despite significant advances in understanding the molecular heterogeneity of PDAC, current classifications have yet to translate into clinical practice. In this review, we propose a novel clinical classification for stage IV PDAC based on distinct patterns of metastatic dissemination and highlight the ongoing efforts to tailor specific regimens for specific clinical subtypes. We further explore the underlying molecular mechanisms that may drive site-specific metastasis. We suggest that the new clinical subtypes could improve patient stratification, optimize clinical trial design, and ultimately enhance therapeutic outcomes in stage IV PDAC patients.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsHumansNeoplasm StagingClinical subtypesClinical trialsMetastasisMolecular mechanismPancreatic ductal adenocarcinomaTherapy

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.