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Pancreatic cancer
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== '''Pathophysiology''' == * Refers to primary cancers of the ductal epithelium, as well as cancers arising from MCN and IPMN * Progression from pancreatic intra-epithelial neoplasia (PanIN) to invasive cancer ** KRAS2 oncogene is activated in >95% and is thought to be the initiating event in tumourigenesis ** CDKN2A, p53 and SMAD4 are tumour suppressor genes that may also play critical roles ** PanIN: progressive abnormality of the ductal epithelium *** PanIN-1A: columnar, mucin-producing ductal epithelium that maintains basally-located homogenous nuclei without atypia *** PanIN-1B: Development of papillary architecture *** PanIN-2: nuclear atypia *** PanIN-3: Prominent nuclear abnormalities with complete loss of polarity and marked cytologic atypia (carcinoma-in-situ) ** Low-grade PanIN is present in >50% of 50yo *
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