EBM-based Clinical Guidelines for Pancreatic Cancer (2013) Issued by the Japan Pancreas Society: A Synopsis

Okusaka, Takuji; Furuse, Junji; Shimosegawa, Tooru; Yamaguchi, Koji; Shimizu, Kyoko; Nakaizumi, Akihiko; Itoi, Takao; Mizuno, Nobumasa; Hatori, Takashi; Yamaue, Y.; Hanada, Keiji; Fujii, Takenori; Endo, Wakio; Egawa, Shin; Yokoyama, Yukihiro; Ohigashi, Hajime; Nagaori, T.; Kanno, Senji; Uesaka, Katsuhiko; Nakamura, Saburo; Ito, Yoshiaki; Shibuya, Kazuto; Ohguri, Takayuki; Nagakura, Hisayasu; Kihara, Yusuke; Ito, Tsuyoshi; Isayama, Hiroyuki; Kanno, Atsushi; Matsumoto, Yasuo

doi:10.1093/jjco/hyu127

Cited by 38 publications

(30 citation statements)

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“…In 2013, JPS published clinical guidelines (CGL) for PC based on evidence‐based medicine 14. This CGL provides an algorithm for the diagnosis and treatment of PC including 35 clinical questions and 57 recommendations.…”

Section: Risk Factors and Early Diagnosismentioning

confidence: 99%

“…These observations suggest that EUS should have important roles in the early diagnosis of PC. Recently, JPS first published a recommendation for early diagnosis of PC with a favorable long prognosis in the current CGL as follows 14. Dilatation of the main pancreatic duct and the presence of cysts are important indirect signs.…”

Section: Algorithms Of Image Diagnosis For Early Pcmentioning

confidence: 99%

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Early diagnosis of pancreatic cancer: Current trends and concerns

Hanada

Amano

Abe

2017

Annals of Gastroent Surgery

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Early detection of pancreatic cancer (PC) is essential for a better prognosis. Some recent studies have demonstrated that a slight dilatation of the main pancreatic duct (MPD) and small cystic lesions were detected initially in most cases diagnosed at an early stage. Detecting these abnormal findings in cases with high risk factors through an effective screening system including image diagnosis, some biological markers, or familial cancer registrations should contribute to early diagnosis of PC. It has been reported that endoscopic ultrasonography (EUS) is essential for detecting tumors <10 mm with a favorable prognosis. Additionally, EUS‐guided fine‐needle aspiration biopsy is useful for confirming final histological diagnosis. For the diagnosis of stage 0 PC, local irregular stenosis of MPD should be an important initial abnormal sign detected by EUS or magnetic resonance cholangiopancreatography. Cytodiagnosis multiple times using pancreatic juice obtained by endoscopic nasopancreatic drainage should be essential for the final diagnosis. Recently, activities of regional networks between specialist doctors in medical centers and general practitioners for early diagnosis of PC have been reported in Japan. In the future, these activities may play an important role in the early diagnosis of PC.

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Section: Risk Factors and Early Diagnosismentioning

confidence: 99%

Section: Algorithms Of Image Diagnosis For Early Pcmentioning

confidence: 99%

Early diagnosis of pancreatic cancer: Current trends and concerns

Hanada

Amano

Abe

2017

Annals of Gastroent Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…In Japan, the clinical guidelines for PC based on evidencebased medicine were published by the Japan Pancreas Society (JPS) in 2006 and were revised to the third version in 2013 [6]. The guidelines show an algorithm for the diagnosis and treatment of PC.…”

Section: Risk Factors For Pcmentioning

confidence: 99%

“…A multicenter study from a working group of the JPS recently reported that PC distinct from branch duct IPMNs developed in seven (2.0 %) of 349 patients during the follow-up period (median 3.7 years) [10]. From these reports, the guidelines recommended that IPMNs and pancreatic cysts should be carefully followed as premalignant diseases of PC [6]. Additionally, another JPS working group reported that PC concomitant with IPMN may have more favorable biological behaviors or may be diagnosed earlier than ordinary PC [11].…”

Section: Risk Factors For Pcmentioning

confidence: 99%