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Book ChapterDOI

Epidemiology of pancreatic cancer

Dominique S. Michaud
- 01 Jan 2017 - 
- Vol. 59, Iss: 2, pp 99-111
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TLDR
This article found that periodontal infection and gastric ulcers may increase the risk of pancreatic cancer, while allergies may decrease risk, but few observational studies have had tumor tissue to address these questions.
Abstract
Pancreatic cancer is the most rapidly lethal cancer; only 7 % of patients survive 5 years. Men are slightly more likely to develop this cancer than women, and African American men have the highest incidence rates. Established risk factors for pancreatic cancer include smoking, long-standing diabetes, chronic pancreatitis, obesity, heavy alcohol intake and family history. Genetic polymorphisms in the ABO gene have also been associated with modest risks of pancreatic cancer, and individuals who have blood type A or B have slightly higher risk than those with type O. Recent research suggests that periodontal infection and gastric ulcers may increase the risk of pancreatic cancer, while allergies may decrease risk. With the exception of red meat intake (and cooking practices), dietary factors have not been consistently associated with risk of pancreatic cancer. Studies examining mutations in tumor tissue have not identified clear associations between risk factors and tumor mutations, but few observational studies have had tumor tissue to address these questions.

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Citations
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Recent trends of cancer in Europe: a combined approach of incidence, survival and mortality for 17 cancer sites since the 1990s.

TL;DR: Cancer prevention and management in Europe is moving in the right direction through the combination of earlier detection, better access to care and improved treatment, especially in the domain of female smoking prevalence and the emerging obesity epidemic.
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Metformin inhibits cell proliferation, migration and invasion by attenuating CSC function mediated by deregulating miRNAs in pancreatic cancer cells

TL;DR: It is found that metformin significantly decreased cell survival, clonogenicity, wound-healing capacity, sphere-forming capacity (pancreatospheres), and increased disintegration of pancreatospheres in both gemcitabine-sensitive and gemcitABine-resistant pancreatic cancer cells.
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A review of the relationship between tooth loss, periodontal disease, and cancer.

TL;DR: Several studies have reported associations between periodontal disease or tooth loss and risk of oral, upper gastrointestinal, lung, and pancreatic cancer in different populations, and in a number of studies, these associations persisted after adjustment for major risk factors.
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MetMAb, the one-armed 5D5 anti-c-Met antibody, inhibits orthotopic pancreatic tumor growth and improves survival.

TL;DR: The data suggest that the HGF/c-Met axis plays an important role in the progression of pancreatic cancer and that targeting c-Met therein may have therapeutic value.
References
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Journal ArticleDOI

Prospective Study of Predictors of Vitamin D Status and Cancer Incidence and Mortality in Men

TL;DR: Low levels of vitamin D may be associated with increased cancer incidence and mortality in men, particularly for digestive-system cancers, when controlled further for body mass index or physical activity level.
Journal ArticleDOI

Type-II diabetes and pancreatic cancer: a meta-analysis of 36 studies.

TL;DR: A modest causal association between type-II diabetes and pancreatic cancer is supported and is explained, in part, by higher risks being reported by smaller studies and studies that reported before 2000.
Journal ArticleDOI

Hereditary Pancreatitis and the Risk of Pancreatic Cancer

TL;DR: The aim of this study was to assess the frequency of pancreatic cancer and other tumors in patients with hereditary form of pancreatitis and to determine the natural history of hereditary pancreatitis.
Journal ArticleDOI

Fasting serum glucose level and cancer risk in korean men and women

TL;DR: In Korea, elevated fasting serum glucose levels and a diagnosis of diabetes are independent risk factors for several major cancers, and the risk tends to increase with an increased level offasting serum glucose.
Journal ArticleDOI

Periodontal Diseases: Epidemiology

TL;DR: Although prevalence figures vary with race and geographic region, in most cases, the progression pattern of the disease seems compatible with the retention of a functional dentition throughout life, and most recent data indicate that periodontal disease may confer risk for coronary heart disease and pre-term low birth weight.
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