Title |
How fibrosis influences imaging and surgical decisions in pancreatic cancer
|
---|---|
Published in |
Frontiers in Physiology, January 2012
|
DOI | 10.3389/fphys.2012.00389 |
Pubmed ID | |
Authors |
Mert Erkan, Simone Hausmann, Christoph W. Michalski, Anna M. Schlitter, Alexander A. Fingerle, Martin Dobritz, Helmut Friess, Jörg Kleeff |
Abstract |
Our understanding of pancreatic ductal adenocarcinoma (PDAC) is shifting away from a disease of malignant ductal cells-only, toward a complex system where tumor evolution is a result of interaction of cancer cells with their microenvironment. This change has led to intensification of research focusing on the fibrotic stroma of PDAC. Pancreatic stellate cells (PSCs) are the main fibroblastic cells of the pancreas which are responsible for producing the desmoplasia in chronic pancreatitis (CP) and PDAC. Clinically, the effect of desmoplasia is two-sided; on the negative side it is a hurdle in the diagnosis of PDAC because the fibrosis in cancer resembles that of CP. It is also believed that PSCs and pancreatic fibrosis are partially responsible for the therapy resistance in pancreatic cancer. On the positive side, a fibrotic pancreas is safer to operate on compared to a fatty and soft pancreas which is prone for postoperative pancreatic fistula. In this review the impact of pancreatic fibrosis on diagnosis of pancreatic cancer and surgical decisions are discussed from a clinical point of view. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Switzerland | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 1% |
Unknown | 73 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 13 | 18% |
Student > Bachelor | 10 | 14% |
Student > Ph. D. Student | 9 | 12% |
Student > Master | 8 | 11% |
Student > Doctoral Student | 5 | 7% |
Other | 14 | 19% |
Unknown | 15 | 20% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 32 | 43% |
Biochemistry, Genetics and Molecular Biology | 11 | 15% |
Chemistry | 3 | 4% |
Agricultural and Biological Sciences | 3 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 3% |
Other | 7 | 9% |
Unknown | 16 | 22% |