About this trial
Several pancreatic neoplastic cystic lesions, such as IPMN (intrapapilary mucinous neoplasia), cystic neuroendocrine tumors (NET) and mucinous neoplasms, present a carcinogenetic risk, though it is yet unknown if this risk is increased in patients with pancreatic steatosis (PS).
The primary objective of the study is to determine de prevalence of pancreatic steatosis in pancreatic neoplastic cysts and if pancreatic steatosis is increased in those lesions that pose a carcinogenetic risk.
The secondary objective is to evaluate the prevalence of pancreatic steatosis in pancreatic adenocarcinoma.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18 or older
Patients with at least 1 pancreatic cystic lesion based on CT and EUS features, with a cyst size ≥ 5mm; or healthy subjects or PDAC (confirmed by histopathological exam).
Disqualifiers
No evidence of written informed consent
Patients with contraindications for endoscopy due to comorbidities
Metal stent in hepato-bilio-pancreatic region at time of baseline CT-imaging (vascular, luminal and biliary)
Acute pancreatitis at baseline imaging
Trial population
Group 1 - pancreatic cystic neoplastic lesion Group 2 - pancreatic ductal adenocarcinoma Group 3 - control
Trial design
Case-control
Retrospective
Treatments tested in this trial
computerized tomography
Diagnostic testLittle is known about the prevalence of pancreatic steatosis in patients with pancreatic cystic lesions therefore this observational study aims to clarify the data.
Endosonography (EUS)
Diagnostic testEUS can better evaluate all pancreatic cysts, therefore is mandatory in this observational study.
Treatment groups
Trial outcomes
Primary outcomes
increased prevalence of pancreatic steatosis in neoplastic cystic lesions
Increased prevalence of pancreatic steatosis in neoplastic cystic lesions (mostly premalignant lesions)
Secondary outcomes
Increased prevalence of pancreatic steatosis in PDAC
The investigators are looking for increased prevalence of pancreatic steatosis in patients with PDAC and its association with stage of PDAC and PDAC-related mortality
Sponsors and contacts
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