Research progress on the etiology and pathogenesis of pancreatic cancer: a narrative review - Summary - MDSpire

Research progress on the etiology and pathogenesis of pancreatic cancer: a narrative review

  • By

  • Meitong Guo

  • Qi Han

  • Zixi Wang

  • Dong Ya

  • Xiaoyan Wang

  • June 11, 2026

  • 0 min

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Objective:

To deepen the understanding of the initiation and progression of pancreatic cancer and to provide new directions for its early diagnosis and precision treatment.

Approach:
    Key Findings:
    • Pancreatic cancer has a high mortality rate and is projected to increase significantly by 2040.
    • Most patients are diagnosed at an advanced stage, with over 80% deemed unresectable.
    • The disease is characterized by strong invasiveness, resistance to treatment, and a low 5-year survival rate.
    • Precancerous lesions such as PanIN, IPMN, and MCN play a crucial role in the progression to invasive pancreatic cancer.
    Interpretation:

    The etiology and pathogenesis of pancreatic cancer remain unclear, necessitating a comprehensive analysis of risk factors and molecular events.

    Limitations:
    • Current studies primarily focus on epidemiological risk factors without fully explaining the pathogenesis.
    • There is a need for more integrated analyses of pathological precursor lesions and driver genes.
    Conclusion:

    Identifying safe and effective therapeutic strategies for pancreatic cancer is an urgent clinical challenge.

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