Cancer risk among the relatives of patients with pancreatic ductal adenocarcinoma

Marco Del Chiaro, Alessandro Zerbi, Massimo Falconi, Laura Bertacca, Marco Polese, Nora Sartori, Ugo Boggi, Giorgio Casari, Bianca Maria Longoni, Roberto Salvia, Maria Adelaide Caligo, Valerio Di Carlo, Paolo Pederzoli, Silvano Presciuttini, Franco Mosca

Research output: Contribution to journalArticle

Abstract

Background/Aims: Pancreatic cancer is a leading cause of cancer-related death; the most consistently identified risk factors are smoking and family history. Our aims were to examine familial aggregations of pancreas and other cancers, and to determine the relative risk of the family members. Methods: We prospectively collected data on the families of patients presenting with pancreatic ductal adenocarcinoma. Smoking habits and alcohol consumption of the probands were compared with the available statistics on the Italian population. Mortality from cancer was investigated in first-degree relatives, and age-dependent risks of dying from pancreatic cancer and other tumors were compared with background population levels. Results: Data for 570 families were collected, including 9,204 relatives. Probands were 3- to 5-fold more often heavy smokers than the general population, and 9.3% of them reported a positive family history of pancreatic cancer. In first-degree relatives, only mortality from pancreatic cancer was significantly increased (relative risk at age 85 years = 2.7). Lifetime risk of dying of pancreas cancer was 4.1% for the relatives of all probands, and was 7.2% for the relatives of probands who developed disease before 60 years of age. Conclusions: The data suggest that genetic susceptibility to pancreatic cancer may be attributable, in addition to BRCA2, to moderate- to low-penetrance gene(s).

Original languageEnglish
Pages (from-to)459-469
Number of pages11
JournalPancreatology
Volume7
Issue number5-6
DOIs
Publication statusPublished - Oct 2007

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Adenocarcinoma
Pancreatic Neoplasms
Neoplasms
Smoking
Population
Mortality
Penetrance
Genetic Predisposition to Disease
Alcohol Drinking
Habits
Genes

Keywords

  • Cancer mortality
  • Familial risk
  • Genetic susceptibility
  • Pancreatic ductal carcinoma

ASJC Scopus subject areas

  • Endocrinology
  • Gastroenterology

Cite this

Cancer risk among the relatives of patients with pancreatic ductal adenocarcinoma. / Del Chiaro, Marco; Zerbi, Alessandro; Falconi, Massimo; Bertacca, Laura; Polese, Marco; Sartori, Nora; Boggi, Ugo; Casari, Giorgio; Longoni, Bianca Maria; Salvia, Roberto; Caligo, Maria Adelaide; Di Carlo, Valerio; Pederzoli, Paolo; Presciuttini, Silvano; Mosca, Franco.

In: Pancreatology, Vol. 7, No. 5-6, 10.2007, p. 459-469.

Research output: Contribution to journalArticle

Del Chiaro, M, Zerbi, A, Falconi, M, Bertacca, L, Polese, M, Sartori, N, Boggi, U, Casari, G, Longoni, BM, Salvia, R, Caligo, MA, Di Carlo, V, Pederzoli, P, Presciuttini, S & Mosca, F 2007, 'Cancer risk among the relatives of patients with pancreatic ductal adenocarcinoma', Pancreatology, vol. 7, no. 5-6, pp. 459-469. https://doi.org/10.1159/000108963
Del Chiaro, Marco ; Zerbi, Alessandro ; Falconi, Massimo ; Bertacca, Laura ; Polese, Marco ; Sartori, Nora ; Boggi, Ugo ; Casari, Giorgio ; Longoni, Bianca Maria ; Salvia, Roberto ; Caligo, Maria Adelaide ; Di Carlo, Valerio ; Pederzoli, Paolo ; Presciuttini, Silvano ; Mosca, Franco. / Cancer risk among the relatives of patients with pancreatic ductal adenocarcinoma. In: Pancreatology. 2007 ; Vol. 7, No. 5-6. pp. 459-469.
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AU - Zerbi, Alessandro

AU - Falconi, Massimo

AU - Bertacca, Laura

AU - Polese, Marco

AU - Sartori, Nora

AU - Boggi, Ugo

AU - Casari, Giorgio

AU - Longoni, Bianca Maria

AU - Salvia, Roberto

AU - Caligo, Maria Adelaide

AU - Di Carlo, Valerio

AU - Pederzoli, Paolo

AU - Presciuttini, Silvano

AU - Mosca, Franco

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AB - Background/Aims: Pancreatic cancer is a leading cause of cancer-related death; the most consistently identified risk factors are smoking and family history. Our aims were to examine familial aggregations of pancreas and other cancers, and to determine the relative risk of the family members. Methods: We prospectively collected data on the families of patients presenting with pancreatic ductal adenocarcinoma. Smoking habits and alcohol consumption of the probands were compared with the available statistics on the Italian population. Mortality from cancer was investigated in first-degree relatives, and age-dependent risks of dying from pancreatic cancer and other tumors were compared with background population levels. Results: Data for 570 families were collected, including 9,204 relatives. Probands were 3- to 5-fold more often heavy smokers than the general population, and 9.3% of them reported a positive family history of pancreatic cancer. In first-degree relatives, only mortality from pancreatic cancer was significantly increased (relative risk at age 85 years = 2.7). Lifetime risk of dying of pancreas cancer was 4.1% for the relatives of all probands, and was 7.2% for the relatives of probands who developed disease before 60 years of age. Conclusions: The data suggest that genetic susceptibility to pancreatic cancer may be attributable, in addition to BRCA2, to moderate- to low-penetrance gene(s).

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