CNS Involvement in Pancreatic Adenocarcinoma: a Report of Eight Cases from the Johns Hopkins Hospital and Review of Literature

被引:19
作者
Kumar A. [1 ]
Dagar M. [2 ]
Herman J. [3 ]
Iacobuzio-Donahue C. [3 ]
Laheru D. [3 ]
机构
[1] Department of Hematology/Oncology, University of Arizona Medical Center, 1501, N Campbell Ave, Tucson, AZ
[2] Department of Medicine, University of Arizona Medical Center, Tucson, 85724, AZ
[3] Sidney Kimmel Comprehensive Cancer Center, Skip Viragh Center for Pancreatic Cancer Research and Clinical Care, Baltimore, MD
关键词
CNS metastasis; P53; Pancreatic adenocarcinoma; SMAD4;
D O I
10.1007/s12029-014-9667-y
中图分类号
学科分类号
摘要
Purpose: CNS metastasis of pancreatic cancer is extremely rare, although systemic metastasis is very common. We present eight such cases with various forms of nervous system involvement. Methods: Data was gathered from chart review of 800 patients with pancreatic cancer treated between 2004 and 2012 of which eight patients are described with CNS metastases. Results: The median age of patients was 61.5 years and the median time to develop CNS metastasis was 29 months. Interestingly, two patients had no other sites of metastasis. The treatment modalities tried included resection followed by radiation, resection alone, or whole brain radiation. © 2014, Springer Science+Business Media New York.
引用
收藏
页码:5 / 8
页数:3
相关论文
共 23 条
[1]  
Hidalgo M., Pancreatic cancer, N Engl J Med, 362, 17, pp. 1605-1617, (2010)
[2]  
Cancer facts and figures, (2012)
[3]  
Lee Y.T., Tatter D., Carcinoma of the pancreas and periampullary structures pattern of metastasis at autopsy, Arch Pathol Lab Med, 108, 7, pp. 584-587, (1984)
[4]  
Go P.H., Klaassen Z., Meadows M.C., Chamberlain R.S., Gastrointestinal cancer and brain metastasis: a rare and ominous sign, Cancer, 117, 16, pp. 3630-3640, (2011)
[5]  
Park K.S., Kim M., Park S.H., Lee K.W., Nervous system involvement by pancreatic cancer, J Neurooncol, 63, 3, pp. 313-316, (2003)
[6]  
Iacobuzio-Donahue C.A., Fu B., Yachida S., Et al., DPC4 gene status of the primary carcinoma correlates with patterns of failure in patients with pancreatic cancer, J Clin Oncol, 27, 11, pp. 1806-1813, (2009)
[7]  
Mihaljevic A.L., Michalski C.W., Friess H., Kleeff J., Molecular mechanism of pancreatic cancer—understanding proliferation, invasion, and metastasis, Langenbecks Arch Surg, 395, 4, pp. 295-308, (2010)
[8]  
Abiatari I., DeOliveira T., Kerkadze V., Et al., Consensus transcriptome signature of perineural invasion in pancreatic carcinoma, Mol Cancer Ther, 8, 6, pp. 1494-1504, (2009)
[9]  
Matsumura T., Ohzato H., Yamamoto T., Et al., A case of postoperative brain metastasis originated from pancreatic cancer which was successfully treated by resection and postoperative irradiation, Gan To Kagaku Ryoho, 36, 12, pp. 2433-2435, (2009)
[10]  
Abe T., Oshida K., Matsumoto K., Iida M., Sanno N., Brain metastasis from malignant pancreatic somatostatinoma case report, J Neurosurg, 85, 4, pp. 681-684, (1996)