New-onset Diabetes as a Harbinger of Pancreatic Cancer: Is Early Diagnosis Possible?

Dana K. Andersen, Suresh T. Chari, Eithne Costello, Tatjana Crnogorac-Jurcevic, Phil A. Hart, Anirban Maitra, Stephen J. Pandol

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

This chapter summarizes the clinical studies which have identified new-onset diabetes (NOD) as a harbinger of pancreatic ductal adenocarcinoma (PDAC). It describes the ongoing efforts to identify biomarkers of PDAC-diabetes mellitus (DM), and proposes strategies which will enable the identification of PDAC at an early stage of the disease. Because PDAC-DM is frequently of new onset, a possible hypothesis is that the NOD associated with PDAC is a paraneoplastic phenomenon caused by the tumor. One approach to recognizing the cohort of NOD patients who are at high risk of PDAC is to identify the type of DM which is caused by the tumor and which is distinct from other DM types. The most promising candidate biomarker for pancreatogenic diabetes is the islet hormone pancreatic polypeptide. Validating and implementing biomarkers for early PDAC detection into clinical practice is a mutual urgent goal for scientists and clinicians alike across the Atlantic.

Original languageEnglish (US)
Title of host publicationClinical Pancreatology for Practising Gastroenterologists and Surgeons
Subtitle of host publicationSecond Edition
Publisherwiley
Pages409-417
Number of pages9
ISBN (Electronic)9781119570097
ISBN (Print)9781119570073
DOIs
StatePublished - Jan 1 2021

Keywords

  • islet hormone pancreatic polypeptide
  • new-onset diabetes
  • pancreatic ductal adenocarcinoma
  • PDAC-diabetes mellitus

ASJC Scopus subject areas

  • General Medicine

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