Molecular, Chemical Analysis of Cystic Fluid, Pancreatic Cyst
Conditions
Brief summary
Through a comprehensive analysis of the pancreatic cystic fluid analysis, the role of the cystic fluid analysis is confirmed in terms of accurate diagnosis of pancreatic cysts, appropriate prediction of treatment response, and to select proper treatment indication through analytic results.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients who diagnosed with pancreatic cystic lesion 2. patients who are able to acquire cystic fluid through EUS-FNA or surgery 3. patients aged 18 years and older
Exclusion criteria
1. patients who did not want to participate in this study 2. patients aged under 18 years old 3. severely mentally ill patients 4. pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| diagnostic accuracy by cystic fluid analysis | up to 5 years after cystic fluid analysis | diagnostic accuracy by cystic fluid analysis in comparison with pathologic diagnosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease free survival | up to 5 years after cystic fluid analysis or surgical resection | Period till tumor recurrence after surgical resection or intervention |
| Malignant transformation rate | up to 5 years after cystic fluid analysis | the prevalence of malignant transformation during follow-up period (percent) |
| Prediction for treatment response in case of surgical resected or EUS-guided ethanol ablated pancreatic cysts | up to 5 years after cystic fluid analysis or EUS guided ablative therapy | evaluation of treatment response for surgery of EUS guided therapy according to RECIST criteria v1.1 |
| Cytology of cystic fluid | within 2 months after study enrollment | result of cytology of cystic fluid |
| Overall survival | up to 5 years after cystic fluid analysis or surgical resection | overall survival until death |
| Chemical profile of Amylase in cystic fluid | within 2 months after study enrollment | level of amylase in cystic fluid |
| Chemical profile of glucose in cystic fluid | within 2 months after study enrollment | level of glucose in cystic fluid |
| DNA mutation profile of cystic fluid | within 2 months after study enrollment | targeted NGS for KRAS, NRAS, CDKN2A, TP53, SMAD4, RNF43, PTEN, PIK3CA, VHL, Aneuploid |
| Chemical profile of CEA in cystic fluid | within 2 months after study enrollment | level of CEA in cystic fluid |
Countries
South Korea