Document Detail


Risk Factors of Familial Pancreatic Cancer in Japan: Current Smoking and Recent Onset of Diabetes.
MedLine Citation:
PMID:  21487321     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:: In western countries, 7% to 10% of patients with pancreatic cancer (PC) have a familial predisposition to their disease. The aim of this study was to determine the familial susceptibility to PC in Japan. METHODS:: Five hundred seventy-seven patients with PC and 577 age- and gender-matched controls were analyzed for cancer history in their first-degree relative(s) (FDRs) and demographic factors. RESULTS:: The patients with PC were more likely to have an FDR with PC (6.9%) than the controls (2.9%; odds ratio [OR], 2.5; P = 0.02). Three patients (0.5%), but none of the controls, had a family history of PC in multiple FDRs. Smoking, especially current smoking (OR, 1.5; P = 0.005), and diabetes mellitus (OR: 1.7, P = 0.001) were also associated with PC. The odds increased up to 10-fold if the patients were positive for these 3 factors. The patients with familial PC were more likely to be current smokers (40%) and to have diabetes mellitus (32.5%) than the sporadic cases (30.1% and 20.1%; OR, 1.6 and 1.9). CONCLUSIONS:: A family history of PC is a risk of PC in Japan (6.9%) as is a personal history of diabetes and smoking. It is prudent to inform the kindred of patients with familiar PC of the risk of smoking and to follow carefully if they develop diabetes.
Authors:
Hiroyuki Matsubayashi; Atsuyuki Maeda; Hideyuki Kanemoto; Katsuhiko Uesaka; Kentaro Yamazaki; Shuichi Hironaka; Yuji Miyagi; Hisatomo Ikehara; Hiroyuki Ono; Alison Klein; Michael Goggins
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-7
Journal Detail:
Title:  Pancreas     Volume:  -     ISSN:  1536-4828     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608542     Medline TA:  Pancreas     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Divisions of *Endoscopy, †Hepato-Biliary-Pancreatic Surgery, ‡Gastrointestinal Oncology, §Center for Cancer Screening, Shizuoka Cancer Center, Shizuoka, Japan; and ∥Departments of Pathology, and ¶Oncology, The Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins Medical Institutions, Baltimore, MD.
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