Evidence map›Paper›PMID 42420569›Full record

ArticleCancer causes & control : CCC2026

Epidemiological landscape and clinical heterogeneity of primary pancreatic lymphoma: a population-based study.

Le Guan, Feng Zhou, Conghua Song, Xiaojiang Zhou, Yang Liu

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Article in Cancer causes & control : CCC, 2026. 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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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

5 authors.

Le Guan *Department of Pathology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Feng Zhou *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital. Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Conghua Song *Department of Gastroenterology, The Affiliated Hospital (Group) of Putian University, Putian, Fujian, China.
Xiaojiang ZhouDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital. Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China. ndyfy01918@ncu.edu.cn.
Yang LiuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital. Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China. ndyfy10098@ncu.edu.cn.

Funding

National Natural Science Foundation of China 81860099Natural Science Foundation of Jiangxi Province 20202ACBL206009Natural Science Foundation of Jiangxi Province 20242BAB20351
6 · The paper itself

Abstract

backgroundEpidemiological and clinical characteristics of primary pancreatic lymphoma (PPL) have been rarely reported in the literature. This study aimed to characterize the epidemiological features of PPL and develop robust nomograms for predicting patient survival outcomes.

methodsPatients diagnosed with PPL were extracted from the Surveillance, Epidemiology, and End Results (SEER) database for the period 1983-2015. Incidence rates of PPL were calculated for 1975-2018, and temporal trends were assessed using Joinpoint regression analysis. Cox proportional hazards regression models were applied to identify independent prognostic factors for overall survival (OS) and disease-specific survival (DSS). Nomograms were constructed based on independent clinicopathological factors to predict the probability of survival in PPL patients.

resultsA total of 867 PPL patients were identified between 1983 and 2015, with a mean age at diagnosis of 65.7 years and a male-to-female ratio of 1.5:1. The overall age-adjusted incidence of PPL from 1975 to 2018 was 0.44 per 1,000,000 population, exhibiting a statistically significant increasing trend with an annual percentage change (APC) of 2.33 (95% confidence interval [CI]: 0.88-3.80, P < 0.05). Multivariate Cox regression analysis revealed that age, sex, marital status, pathological subtype, Ann Arbor stage, surgical intervention, and chemotherapy were independent prognostic factors for both OS and DSS (all P < 0.05). Nomograms were developed to predict 1-, 5-, and 10-year OS and DSS, and the predictive performance and calibration of these models were validated using the concordance index (C-index) and calibration curves, respectively.

conclusionPPL is an extremely rare malignancy, yet its incidence has increased steadily over the past four decades. The constructed nomograms can accurately predict 1-, 5-, and 10-year OS and DSS in PPL patients and effectively stratify patients into high-risk and low-risk groups, thus facilitating clinical decision-making.

Indexed as

LymphomaPancreatic NeoplasmsAdultAgedFemaleHumansIncidenceMaleMiddle AgedNomogramsPrognosisSEER ProgramIncidenceNomogramPrimary pancreatic lymphomaPrognosisSEER

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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.