Pancreatic cancer risk factors: Difference between revisions

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==Overview==
==Overview==
Pancreatic cancer is associated with number of predisposing risk factors such as age, gender, ethnicity, and environmental exposures. The most potent risk factors for Pancreatic cancer include [[smoking]], [[alcoholism]], increased [[Body mass index|BMI]], [[diabetes mellitus]], [[chronic pancreatitis]] and a family history of pancreatic cancer. Individuals with [[hereditary pancreatitis]], familial pancreatic cancer, Peutz-Jeghers disease, familial atypical mole melanoma syndrome, cystic fibrosis of the pancreas and familial cancer syndromes such as [[Hereditary nonpolyposis colorectal cancer|lynch syndrome]], [[familial adenomatous polyposis]] (FAP) and hereditary breast and ovarian cancer-[[BRCA1]] and [[BRCA2]] mutations are also at an increased risk of pancreatic cancer. Other medical conditions which pose as a risk factor for Pancreatic cancer are [[inflammatory bowel disease]], [[periodontal disease]] and [[peptic ulcer disease]].
Pancreatic cancer is associated with number of predisposing risk factors such as age, gender, ethnicity, and environmental exposures. The most potent risk factors for Pancreatic cancer include [[smoking]], [[alcoholism]], increased [[Body mass index|BMI]], [[diabetes mellitus]], [[chronic pancreatitis]] and a family history of pancreatic cancer. Individuals with [[hereditary pancreatitis]], familial pancreatic cancer, Peutz-Jeghers disease, [[familial atypical multiple mole melanoma syndrome]] (FAMMM), [[von Hippel-Lindau syndrome]], [[multiple endocrine neoplasia type 1]], cystic fibrosis of the pancreas and familial cancer syndromes such as [[Hereditary nonpolyposis colorectal cancer|lynch syndrome]], [[familial adenomatous polyposis]] (FAP) and hereditary breast and ovarian cancer-[[BRCA1]] and [[BRCA2]] mutations are also at an increased risk of pancreatic cancer. Other medical conditions which pose as a risk factor for Pancreatic cancer are [[inflammatory bowel disease]], [[periodontal disease]] and [[peptic ulcer disease]].


==Risk Factors==
==Risk Factors==

Revision as of 16:37, 15 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]

Overview

Pancreatic cancer is associated with number of predisposing risk factors such as age, gender, ethnicity, and environmental exposures. The most potent risk factors for Pancreatic cancer include smoking, alcoholism, increased BMI, diabetes mellitus, chronic pancreatitis and a family history of pancreatic cancer. Individuals with hereditary pancreatitis, familial pancreatic cancer, Peutz-Jeghers disease, familial atypical multiple mole melanoma syndrome (FAMMM), von Hippel-Lindau syndrome, multiple endocrine neoplasia type 1, cystic fibrosis of the pancreas and familial cancer syndromes such as lynch syndrome, familial adenomatous polyposis (FAP) and hereditary breast and ovarian cancer-BRCA1 and BRCA2 mutations are also at an increased risk of pancreatic cancer. Other medical conditions which pose as a risk factor for Pancreatic cancer are inflammatory bowel disease, periodontal disease and peptic ulcer disease.

Risk Factors

  • The most potent risk factors for Pancreatic cancer include smoking, alcoholism, increased BMI, diabetes mellitus, chronic pancreatitis and a family history of pancreatic cancer.
  • Individuals with the following conditions are also at an increased risk of pancreatic cancer:[1]
    • Hereditary pancreatitis
    • Familial pancreatic cancer
    • Peutz-Jeghers disease
    • Familial atypical mole melanoma
    • Cystic fibrosis of pancreas,
    • Familial cancer syndromes such as:
      • Lynch syndrome
      • Familial adenomatous polyposis (FAP)
      • Hereditary breast and ovarian cancer-BRCA1 and BRCA2 mutations
  • Risk factors for Pancreatic cancer are illustrated in the following tables:
  • Risk factors for Pancreatic Cancers:[2]
Risk factors for Pancreatic Cancer
Risk factors
  • Smoking
  • Alcohol
  • Increased BMI
  • Diabetes mellitus
  • Chronic pancreatitis
  • Family history of pancreatic cancer
Familial Cancer Syndromes
  • BRCA1, BRCA2
  • Familial adenomatous polyposis (FAP)
  • Peutz-Jeghers syndrome
  • Familial atypical multiple mole melanoma syndrome (FAMMM)
  • Lynch syndrome
  • von Hippel-Lindau syndrome
  • Multiple endocrine neoplasia type 1
  • Gardner syndrome
Other medical conditions
  • Inflammatory bowel disease
  • Periodontal disease
  • Peptic ulcer disease


  • Risk Factors and Inherited Syndromes associated with Pancreatic Cancer:[3]
Risk Factors and Inherited Syndromes associated with Pancreatic Cancer
Risk Factor Approximate Risk
Smoking 2-3 %
Long-standing Diabetes mellitus 2 %
Nonhereditery and Chronic Pancreatitis 2-6 %
Obesity, Inactivity or both 2 %
Non O Blood Group 1-2 %
Genetic Syndrome and Associated Gene or Genes
Hereditary pancreatitis (PRSS1, SPINK1) 50 %
Familial atypical multiple mole and melanoma syndrome (p16) 10-20 %
Hereditary breast and ovarian cancer syndromes (BRCA1, BRCA2, PALB2) 1-2 %
Peutz-Jeghers syndrome (STK11 [LKB1]) 30-40 %
Hereditary nonpolyposis colon cancer (Lynch syndrome) (MLH1, MSH2, MSH6) 4 %
Ataxia-telangiectasia (ATM) Unknown
Li-Fraumeni syndrome (P53) Unknown

References

  1. Goral V (2015). "Pancreatic Cancer: Pathogenesis and Diagnosis". Asian Pac J Cancer Prev. 16 (14): 5619–24. PMID 26320426.
  2. Bond-Smith G, Banga N, Hammond TM, Imber CJ (2012). "Pancreatic adenocarcinoma". BMJ. 344: e2476. doi:10.1136/bmj.e2476. PMID 22592847.
  3. Ryan DP, Hong TS, Bardeesy N (2014). "Pancreatic adenocarcinoma". N Engl J Med. 371 (11): 1039–49. doi:10.1056/NEJMra1404198. PMID 25207767.

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