Serum DU-PAN-2 in the differential diagnosis of pancreatic cancer: influence of jaundice and liver dysfunction
1991

Serum DU-PAN-2 in Diagnosing Pancreatic Cancer

Sample size: 104 publication Evidence: moderate

Author Information

Author(s): C. Fabris, A. Malesci, D. Basso, C. Bonato, G. Del Favero, M. Tacconi, T. Meggiato, P. Fogar, M.P. Panozzo, C. Ferrara, P. Scalon, R. Naccarato

Primary Institution: Istituto di Medicina Interna, Universita degli Studi di Padova

Hypothesis

Can serum DU-PAN-2 levels effectively differentiate pancreatic cancer from other diseases?

Conclusion

The serum DU-PAN-2 test is not sensitive enough to reliably diagnose pancreatic cancer or distinguish it from other diseases.

Supporting Evidence

  • DU-PAN-2 was above 300 U/ml in 21 out of 31 patients with pancreatic cancer, indicating a sensitivity of 68%.
  • Only 3 out of 32 patients with chronic pancreatitis had abnormal DU-PAN-2 values.
  • A significant correlation was found between DU-PAN-2 levels and liver function tests.

Takeaway

Doctors tested a blood marker called DU-PAN-2 to see if it could help find pancreatic cancer, but it didn't work well enough.

Methodology

Serum DU-PAN-2 levels were measured in 104 patients with pancreatic cancer, chronic pancreatitis, and other diseases, using an EIA method.

Limitations

The test cannot distinguish between pancreatic cancer and other extra-pancreatic diseases, especially in patients with liver dysfunction.

Participant Demographics

The study included 31 patients with pancreatic cancer (15 males, 16 females, age range 28-79), 32 with chronic pancreatitis (29 males, 3 females, age range 29-65), and 41 with extra-pancreatic diseases (22 males, 19 females, age range 39-82).

Statistical Information

P-Value

P<0.001

Statistical Significance

p<0.001

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