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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 28, 2014; 20(32): 11182-11198
Published online Aug 28, 2014. doi: 10.3748/wjg.v20.i32.11182
Published online Aug 28, 2014. doi: 10.3748/wjg.v20.i32.11182
Pancreatic ductal adenocarcinoma: Risk factors, screening, and early detection
Andrew E Becker, Yasmin G Hernandez, Aimee L Lucas, Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States
Harold Frucht, Division of Digestive and Liver Diseases, Columbia University College, New York, NY 10032, United States
Author contributions: All authors were involved in the design of the manuscript; Becker AE wrote the manuscript; Lucas AL, Hernandez YG and Frucht H reviewed and revised the manuscript.
Correspondence to: Aimee L Lucas, MD, MS, Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, One Gustave L Levy Place, Box 1069, New York, NY 10029, United States. aimee.lucas@mssm.edu
Telephone: +1-212-2410101 Fax: +1-646-5378647
Received: November 1, 2013
Revised: February 15, 2014
Accepted: April 15, 2014
Published online: August 28, 2014
Processing time: 303 Days and 15.4 Hours
Revised: February 15, 2014
Accepted: April 15, 2014
Published online: August 28, 2014
Processing time: 303 Days and 15.4 Hours
Core Tip
Core tip: Risk factors for developing pancreatic cancer include multiple genetic syndromes as well as modifiable risk factors. These factors can raise the risk of developing pancreatic cancer up to 132-fold over the general population. Several large-volume centers have initiated screening protocols, and consensus-based guidelines for screening high-risk groups have recently been published. The focus of this review will be both the genetic and modifiable risk factors implicated in pancreatic cancer, as well as a review of screening strategies and their diagnostic yields.