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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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A Population-Based, Descriptive Analysis of Malignant Intraductal Papillary Mucinous Neoplasms of the Pancreas

Hoa Le, Argyrios Ziogas, Jessica M. Rhee, John G. Lee, Steven M. Lipkin and Jason A. Zell
Hoa Le
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Argyrios Ziogas
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Jessica M. Rhee
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John G. Lee
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Steven M. Lipkin
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Jason A. Zell
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DOI: 10.1158/1055-9965.EPI-08-0417 Published October 2008
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    Figure 1.

    Five-year Kaplan-Meier survival curves for each of the investigated pancreatic histologic subtypes, showing better median overall survival for IPMNs (n = 43) compared with pancreatic endocrine (n = 568), mucinous (n = 880), adenocarcinoma (n = 10,186), and carcinoma not otherwise specified (n = 3,619) tumors (P < 0.0001).

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  • Table 1.

    Demographic characteristics for pancreatic cancer cases by histologic subtype; incidence cases for 2000 to 2007

    Adenocarcinoma (n = 10,186)Mucinous (n = 880)Endocrine (n = 568)IPMN (n = 43)Carcinoma not otherwise specified (n = 3,619)
    Gender
        Male5,155 (50.6)404 (45.9)302 (53.2)21 (48.8)1,628 (45)
        Female5,031 (49.4)476 (54.1)266 (46.8)22 (51.2)1,991 (55)
    Age (y)
        <50733 (7.2)76 (8.6)155 (27.3)3 (7)137 (3.8)
        50-591,813 (17.8)171 (19.4)147 (25.9)8 (18.6)339 (9.4)
        60-692,631 (25.8)218 (24.8)125 (22)5 (11.6)571 (15.8)
        70-793,199 (31.4)270 (30.7)99 (17.4)16 (37.2)1,022 (28.2)
        80+1,810 (17.8)145 (16.5)42 (7.4)11 (25.6)1,550 (42.8)
    Ethnicity
        White6,515 (64)562 (63.9)369 (65)30 (69.8)2,375 (65.6)
        Black773 (7.6)78 (8.9)44 (7.8)2 (4.7)322 (8.9)
        Hispanic1,797 (17.6)151 (17.2)86 (15.1)1 (2.3)550 (15.2)
        Chinese258 (2.5)17 (1.9)11 (1.9)1 (2.3)93 (2.6)
        Non-Chinese Asian784 (7.7)67 (7.6)52 (9.2)8 (18.6)258 (7.1)
        Other59 (0.6)5 (0.6)6 (1.1)1 (2.3)21 (0.6)
    Stage
        Local*1,489 (17.9)137 (18.6)142 (29.8)33 (80.5)531 (24.5)
        Regional3,357 (40.3)240 (32.7)126 (26.5)8 (19.5)629 (29.0)
        Metastatic3,472 (41.7)358 (48.7)208 (43.7)01,011 (46.6)
        Number missing18681559221448
    Surgery
        None8,907 (87.4)686 (78)359 (63.2)8 (18.6)3,386 (93.6)
        Pancreatectomy1,219 (12)185 (21)198 (34.9)34 (79.1)65 (1.8)
        Other surgery45 (0.4)9 (1)9 (1.6)1 (2.3)13 (0.4)
    Radiation
        No8,697 (85.5)751 (85.3)525 (92.8)41 (95.4)3,314 (95.3)
        Yes1,475 (14.5)129 (14.7)41 (7.2)2 (4.7)163 (4.7)
    Chemotherapy
        No5,518 (54.2)511 (58.1)349 (61.4)37 (86.1)2,809 (77.6)
        Yes4,378 (43)352 (40)201 (35.4)6 (14)576 (15.9)
    Socioeconomic status
        Lowest1,470 (14.4)129 (14.7)67 (11.8)3 (7)594 (16.4)
        2nd Lowest1,853 (18.2)167 (19)89 (15.7)5 (11.6)734 (20.3)
        Middle2,157 (21.2)157 (17.8)115 (20.3)8 (18.6)782 (21.6)
        High2,279 (22.4)201 (22.8)121 (21.3)10 (23.3)773 (21.4)
        Highest2,427 (23.8)226 (25.7)176 (31)17 (39.5)736 (20.3)
    • ↵* Includes in situ cases, as described in the text.

  • Table 2.

    Multivariate survival analysis using Cox proportional hazards model; incidence cases for 2000 to 2007

    Histologic subtypeHR (95% CI)
    Adenocarcinoma1.00 (reference)
    Mucinous0.84 (0.77-0.90)
    Endocrine0.28 (0.25-0.32)
    IPMN0.19 (0.10-0.35)
    Carcinoma not otherwise specified1.07 (1.03-1.12)
    • NOTE: Model adjusted for age at diagnosis, gender, ethnicity, stage, surgery, radiation, chemotherapy, and socioeconomic status.

      Abbreviation: HR, hazard ratio.

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Cancer Epidemiology Biomarkers & Prevention: 17 (10)
October 2008
Volume 17, Issue 10
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A Population-Based, Descriptive Analysis of Malignant Intraductal Papillary Mucinous Neoplasms of the Pancreas
Hoa Le, Argyrios Ziogas, Jessica M. Rhee, John G. Lee, Steven M. Lipkin and Jason A. Zell
Cancer Epidemiol Biomarkers Prev October 1 2008 (17) (10) 2737-2741; DOI: 10.1158/1055-9965.EPI-08-0417

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A Population-Based, Descriptive Analysis of Malignant Intraductal Papillary Mucinous Neoplasms of the Pancreas
Hoa Le, Argyrios Ziogas, Jessica M. Rhee, John G. Lee, Steven M. Lipkin and Jason A. Zell
Cancer Epidemiol Biomarkers Prev October 1 2008 (17) (10) 2737-2741; DOI: 10.1158/1055-9965.EPI-08-0417
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