https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=29269290&retmode=xml&tool=Litmetric&email=readroberts32@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09 292692902018090520180905
1424-39111812018JanPancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]PancreatologyPancreatic inflammation and atrophy are not associated with pancreatic cancer concomitant with intraductal papillary mucinous neoplasm.546054-6010.1016/j.pan.2017.12.007S1424-3903(17)30896-7Inflammation-induced carcinogenesis in pancreatic ductal adenocarcinoma (PDAC) has been reported; however, its involvement in PDAC with intraductal papillary mucinous neoplasm (IPMN) remains unclear. We herein investigated the relationship between pancreatic atrophy and inflammation and the incidence of PDAC concomitant with IPMN.This study included 178 consecutive patients who underwent surgical resection for PDAC with IPMN (N = 21) and IPMN (N = 157) between April 2001 and October 2016. A multivariable logistic regression analysis was conducted to assess the relationship between pancreatic inflammation and atrophy and the incidence of PDAC concomitant with IPMN, with adjustments for clinical characteristics and imaging features. Pathological pancreatic inflammation and atrophy were evaluated in resected specimens.High degrees of pancreatic inflammation and atrophy were not associated with the incidence of PDAC with IPMN (multivariable odds ratio [OR] = 0.5, 95% confidence interval [CI] = 0.07 to 3.33, P = .52, adjusted by clinical characteristics, OR = 0.9, 95% CI = 0.10 to 5.86, P = .91, adjusted by imaging studies; OR = 0.2, 95% CI = 0.009 to 1.31, P = .10, adjusted by clinical characteristics, OR = 0.2, 95% CI = 0.01 to 1.43, P = .12, adjusted by imaging studies, respectively).Pancreatic inflammation and atrophy were not associated with pancreatic cancer concomitant with IPMN.Copyright © 2017 IAP and EPC. Published by Elsevier B.V. All rights reserved.YagiYosukeYDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Department of Gastroenterology, Nissay Hospital, Japan.MasudaAtsuhiroADivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan. Electronic address: atmasuda@med.kobe-u.ac.jp.ZenYohYDivision of Diagnostic Pathology, Kobe University Graduate School of Medicine, Japan.ShiomiHideyukiHDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.ToyamaHirochikaHDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Japan.SofueKeitaroKDepartment of Radiology, Kobe University Graduate School of Medicine, Japan.TakenakaMamoruMDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Department of Gastroenterology and Hepatology, Kinki University Hospital, Faculty of Medicine, Japan.KobayashiTakashiTDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.NakagawaTakashiTDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.YamanakaKodaiKDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Department of Internal Medicine, Rokko Island Konan Hospital, Japan.IkegawaTakuyaTDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.HoshiNamikoNDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.YoshidaMasaruMDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.ArisakaYoshifumiYDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Department of Gastroenterology, Nissay Hospital, Japan.OkabeYoshihiroYDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Department of Gastroenterology, Kakogawa Central City Hospital, Japan.KutsumiHiromuHDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; Center for Clinical Research and Advanced Medicine Establishment, Shiga University of Medical Science, Japan.FukumotoTakumiTDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Japan.KuYonsonYDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Japan; Department of Surgery, Kohnan Hospital, Japan.AzumaTakeshiTDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.engJournal Article20171216
SwitzerlandPancreatology1009669361424-3903IMAdenocarcinoma, MucinouspathologyAdenocarcinoma, PapillarypathologyAgedAtrophypathologyCarcinoma, Pancreatic DuctalpathologyCarcinoma, PapillarypathologyDatabases, FactualFemaleHumansInflammationpathologyMaleMiddle AgedPancreatitisRetrospective StudiesAtrophyInflammationPDAC concomitant with IPMN
201742920171129201712152017122360201896602017122360ppublish2926929010.1016/j.pan.2017.12.007S1424-3903(17)30896-7