Current and future biomarkers for pancreatic adenocarcinoma

Although pancreatic cancer is only the twelfth most common type of cancer in the world, it features a very unfavorable prognosis. The mortality rate almost equals the incidence rate, corroborating the very poor prognosis of pancreatic cancer. The 5-year survival rate for all stages of pancreatic duc...

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Main Authors: Sven H Loosen, Ulf P Neumann, Christian Trautwein, Christoph Roderburg, Tom Luedde
Format: Article
Language:English
Published: SAGE Publishing 2017-05-01
Series:Tumor Biology
Online Access:https://doi.org/10.1177/1010428317692231
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author Sven H Loosen
Ulf P Neumann
Christian Trautwein
Christoph Roderburg
Tom Luedde
author_facet Sven H Loosen
Ulf P Neumann
Christian Trautwein
Christoph Roderburg
Tom Luedde
author_sort Sven H Loosen
collection DOAJ
description Although pancreatic cancer is only the twelfth most common type of cancer in the world, it features a very unfavorable prognosis. The mortality rate almost equals the incidence rate, corroborating the very poor prognosis of pancreatic cancer. The 5-year survival rate for all stages of pancreatic ductal adenocarcinoma is only 7%. Surgical resection represents the only potentially curative treatment option for pancreatic ductal adenocarcinoma patients but is often not feasible due to the advanced stage of the disease upon diagnosis. For advanced disease, palliative chemotherapy is the treatment of choice although the regimens available to date are untargeted and have extensive side-effect profiles, making them unsuitable for patients with a low performance status. For this reason, early detection of pancreatic cancer is essential in order to provide patients with an optimal therapeutic approach. Up to the present day, carbohydrate antigen 19-9 is the only diagnostic marker approved by the U.S. Food and Drug Administration but its diagnostic potential is limited due to its restricted sensitivity and specificity, supporting the urgent need for novel biomarkers. In addition, prognostic and treatment-predictive biomarkers might provide essential information regarding personalized treatment decisions for individual patients. In this article, we aim to review current and future diagnostic, prognostic, and treatment-predictive biomarkers for pancreatic cancer.
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spelling doaj-art-baeb139591294f89976c2e1c1bf8bcff2025-08-20T03:36:03ZengSAGE PublishingTumor Biology1423-03802017-05-013910.1177/1010428317692231Current and future biomarkers for pancreatic adenocarcinomaSven H Loosen0Ulf P Neumann1Christian Trautwein2Christoph Roderburg3Tom Luedde4Department of Gastroenterology, Digestive Diseases and Intensive Care Medicine (Department of Medicine III), Division of GI Oncology, University Hospital RWTH Aachen, Aachen, GermanyDepartment of Surgery, University Hospital RWTH Aachen, Aachen, GermanyDepartment of Gastroenterology, Digestive Diseases and Intensive Care Medicine (Department of Medicine III), Division of GI Oncology, University Hospital RWTH Aachen, Aachen, GermanyDepartment of Gastroenterology, Digestive Diseases and Intensive Care Medicine (Department of Medicine III), Division of GI Oncology, University Hospital RWTH Aachen, Aachen, GermanyDepartment of Gastroenterology, Digestive Diseases and Intensive Care Medicine (Department of Medicine III), Division of GI Oncology, University Hospital RWTH Aachen, Aachen, GermanyAlthough pancreatic cancer is only the twelfth most common type of cancer in the world, it features a very unfavorable prognosis. The mortality rate almost equals the incidence rate, corroborating the very poor prognosis of pancreatic cancer. The 5-year survival rate for all stages of pancreatic ductal adenocarcinoma is only 7%. Surgical resection represents the only potentially curative treatment option for pancreatic ductal adenocarcinoma patients but is often not feasible due to the advanced stage of the disease upon diagnosis. For advanced disease, palliative chemotherapy is the treatment of choice although the regimens available to date are untargeted and have extensive side-effect profiles, making them unsuitable for patients with a low performance status. For this reason, early detection of pancreatic cancer is essential in order to provide patients with an optimal therapeutic approach. Up to the present day, carbohydrate antigen 19-9 is the only diagnostic marker approved by the U.S. Food and Drug Administration but its diagnostic potential is limited due to its restricted sensitivity and specificity, supporting the urgent need for novel biomarkers. In addition, prognostic and treatment-predictive biomarkers might provide essential information regarding personalized treatment decisions for individual patients. In this article, we aim to review current and future diagnostic, prognostic, and treatment-predictive biomarkers for pancreatic cancer.https://doi.org/10.1177/1010428317692231
spellingShingle Sven H Loosen
Ulf P Neumann
Christian Trautwein
Christoph Roderburg
Tom Luedde
Current and future biomarkers for pancreatic adenocarcinoma
Tumor Biology
title Current and future biomarkers for pancreatic adenocarcinoma
title_full Current and future biomarkers for pancreatic adenocarcinoma
title_fullStr Current and future biomarkers for pancreatic adenocarcinoma
title_full_unstemmed Current and future biomarkers for pancreatic adenocarcinoma
title_short Current and future biomarkers for pancreatic adenocarcinoma
title_sort current and future biomarkers for pancreatic adenocarcinoma
url https://doi.org/10.1177/1010428317692231
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