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Four-Marker Blood Test Shows About 92% Accuracy for Early Pancreatic Cancer in Retrospective Study

Experts say the panel’s promising results require prediagnostic validation in prospective trials before it could guide screening.

Overview

  • Researchers at the University of Pennsylvania and Mayo Clinic combined CA19-9 and THBS2 with two newly identified proteins, ANPEP and PIGR, to form the four-marker panel.
  • Published in Clinical Cancer Research, the assay distinguished pancreatic cancer from non-cancer cases 91.9% of the time and detected early-stage disease in 87.5% of cases.
  • The test differentiated cancer from healthy individuals and from non-cancerous pancreatic conditions such as pancreatitis, with a reported false-positive rate of about 5%.
  • Study authors emphasize that results come from retrospective, banked samples and call for prediagnostic and large prospective studies before any clinical use.
  • Researchers suggest future evaluation in people at higher risk, including those with a family history, certain genetic risks, pancreatic cysts, or long-term pancreatitis, as pancreatic cancer currently lacks effective screening and has poor survival in the UK.